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Organization
EVOLVING MINDS THERAPY, LLC
Active
Organization
EVOLVING MINDS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDANCE CODE OTD, OTR/L (PARTNER/EXECUTIVE DIRECTOR)
(662) 719-9211
Entity
Organization
Contact information
Practice address
1271 S SUBER RD STE B, GREER, SC 29650-0940
(864) 655-5845
(864) 469-2040
Mailing address
2106 OLD SPARTANBURG RD, GREER, SC 29650-2763
(864) 244-0405
(864) 469-2040
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
NULL
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
NULL
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/06/2026
Last updated
06/06/2026
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