| Evolve Wellness Llc | |
|
3430 E Flamingo Rd Ste 309 Las Vegas NV 89121-5066 | |
| (725) 204-2578 | |
| Not Available |
| Full Name | Evolve Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3430 E Flamingo Rd Ste 309, Las Vegas, Nevada |
| Authorized Official Name and Position | Madeleine Navarro Diaz (OWNER) |
| Authorized Official Contact | 7252042578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Wellness Llc 3430 E Flamingo Rd Ste 309 Las Vegas NV 89121-5066 Ph: (702) 427-9040 | Evolve Wellness Llc 3430 E Flamingo Rd Ste 309 Las Vegas NV 89121-5066 Ph: (725) 204-2578 |
| NPI Number | 1699406769 |
|---|---|
| Provider Enumeration Date | 06/20/2022 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699406769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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