Evolvenchange, LLC
NPI #1013588862 in Laurel Springs, New Jersey
Provider Information
- NPI Number
- 1013588862
- Entity Type
- Organization
- Organization Name
- Evolvenchange, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jul 2, 2021
- Last Updated
- Jul 2, 2021
Practice Location
- Address
- 1451 CHEWS LANDING RD STE 207
- City
- Laurel Springs
- State
- New Jersey
- ZIP Code
- 08021-2766
- Phone
- (856) 341-2208
Authorized Official
- Name
- LETISHA HOGANS, APN
- Title
- PSYCHIATRIC MENTAL HEALTH NURSE PRA
- Phone
- (609) 422-0923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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