Look up the most recent NPI and PECOS records

Evolve Behavioral Llc

Community/Behavioral Health

Agencies

4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010

PECOS Enrollment

Based on the most recent information from CMS, provider Evolve Behavioral Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265280663
Provider Type
Organization
Full Name
Evolve Behavioral Llc

Subpart
No
Enumeration Date
5/9/2024
Last Updated
5/9/2024

Contact Information

Practice Location

4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010

(708) 446-9339

Unlisted Fax

Mailing Location

4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010

Unlisted Phone

Unlisted Fax

Authorized Official

Moore, Daniel (Manager)

(708) 446-9339

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer

Evolve Behavioral Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Description

License

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