# KEEP EVOLVING WELLNESS

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

## Provider details

- **NPI number:** 1558040634
- **Authorized official:** MICHELLE HALL-BOGGAN LSW (OWNER)
- **Authorized official phone:** (609) 200-5933

## Contact information

- **Practice address:** 130 MAIN ST, RANCOCAS, NJ 08073-8031
- **Practice address phone:** (609) 200-5933
- **Mailing address:** 130 MAIN ST, RANCOCAS, NJ 08073-8031
- **Mailing address phone:** (609) 200-5933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2023
- **Last updated:** 07/14/2023