# EVOLVING MINDS THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093648230
- **Authorized official:** DR. CANDANCE CODE OTD, OTR/L (PARTNER/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (662) 719-9211

## Contact information

- **Practice address:** 1271 S SUBER RD STE B, GREER, SC 29650-0940
- **Practice address phone:** (864) 655-5845
- **Practice address fax:** (864) 469-2040
- **Mailing address:** 2106 OLD SPARTANBURG RD, GREER, SC 29650-2763
- **Mailing address phone:** (864) 244-0405
- **Mailing address fax:** (864) 469-2040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0008X | Pediatric Neurodevelopmental Disabilities Physician | — | NULL | — |
| 2080P0008X | Pediatric Neurodevelopmental Disabilities Physician | — | — | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |
| 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