# EVOLVIA NEURO-BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1447120530
- **Authorized official:** PAULSEN MYLES (OWNER)
- **Authorized official phone:** (623) 703-8236

## Contact information

- **Practice address:** 1126 W HELENA DR, PHOENIX, AZ 85023-2626
- **Practice address phone:** (602) 921-4143
- **Mailing address:** 109 BISHOP RD, CROCKETT, CA 94525-1515
- **Mailing address phone:** (623) 703-8236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2025
- **Last updated:** 11/05/2025