# EVOLVE HEALTH LLC

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

## Provider details

- **NPI number:** 1285177402
- **Authorized official:** KELLY BLONDELL LMFT (OWNER/THERAPIST)
- **Authorized official phone:** (612) 245-8661

## Contact information

- **Practice address:** 5821 CEDAR LAKE RD S, SUITE 8, ST LOUIS PARK, MN 55416-1487
- **Practice address phone:** (612) 245-8661
- **Mailing address:** 5821 CEDAR LAKE RD S, SUITE 8, ST LOUIS PARK, MN 55416-1487
- **Mailing address phone:** (612) 245-8661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1658 | MN | Yes |

## Other

- **Enumeration date:** 11/19/2016
- **Last updated:** 11/19/2016