Evolution Mind, LLC
Evolution Mind, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Maplewood, New Jersey. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2130 Millburn Ave Ste D2Maplewood, NJ 07040-3749
Phone: (973) 801-1801
Fax: (908) 964-0809
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1912428905 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kira Baskerville-Williams — Co-Owner · (973) 801-1801 |
| NPI enumerated | June 29, 2017 |
| Last updated in NPPES | October 23, 2017 |
| Mailing address | 1286 Marcella Dr, Union, NJ 07083-6243 |
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