Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evolutionary Intervention LLC

Organization Professional Counselor · NPI 1679846505

Evolutionary Intervention LLC is a Professional Counselor in Southfield, Michigan. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17348 W 12 Mile Rd Ste 106
Southfield, MI 48076-2120
Phone: (888) 492-9386
Fax: (888) 492-9386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1679846505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Jackson — Owner · (888) 492-9386
NPI enumeratedFebruary 23, 2012
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021
Mailing addressPo Box 760224, Lathrup Village, MI 48076-0224

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