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

Personal Evolution LLC

Organization Counselor · NPI 1598260630

Personal Evolution LLC is a Counselor in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2018.

Licensed in
NJ, PA
In the registry since
2018
Specialties on file
3
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

430 Belgrade St Fl 1
Philadelphia, PA 19125-2621
Phone: (267) 764-1997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC009315 (PA)
Counselor Taxonomy 101Y00000X
Professional Counselor Taxonomy 101YP2500X · Licence 37PC00477600 (NJ)

Record details

NPI number1598260630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Glick — Ceo/Founder · (215) 469-1155
Other names Fishtown Wellness Center
NPI enumeratedMarch 29, 2018
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address430 Belgrade St Fl 1, Philadelphia, PA 19125-2621

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