Evo Health and Wellness, LLC

NPI #1306330568 in Venice, California

Provider Information

NPI Number: 1306330568
Entity Type: Organization
Organization Name: Evo Health and Wellness, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 20, 2018
Last Updated: Jun 20, 2018

Practice Location

Address: 340 SUNSET AVE
City: Venice
State: California
ZIP Code: 90291-2632
Phone: (210) 246-4756

Authorized Official

Name: MR. KOOROSH RASSEKH, MFFT
Title: MANAGING MEMBER
Phone: (310) 205-6991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Marriage & Family Therapist	106H00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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