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Organization
EVOLUTION MENTAL HEALTH
Active
Organization
EVOLUTION MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE TOWNLEY LLP (DIRECTOR)
(313) 626-0011
Entity
Organization
Contact information
Practice address
20600 EUREKA RD, TAYLOR, MI 48180-5343
(313) 626-0011
(313) 722-4172
Mailing address
20600 EUREKA RD, TAYLOR, MI 48180-5343
(313) 626-0011
(313) 722-4172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/13/2022
Last updated
05/06/2026
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