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Organization
EVOLUCION OF WELLNESS LLC
Active
Organization
EVOLUCION OF WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA I HERNANDEZ LICSW, LADCI (PROVIDER)
(413) 426-1321
Entity
Organization
Contact information
Practice address
356 WHITE ST, SPRINGFIELD, MA 01108-2153
(413) 426-1321
(413) 217-0818
Mailing address
356 WHITE ST, SPRINGFIELD, MA 01108-2153
(413) 426-1321
(413) 217-0818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891049664
—
MA
Enumeration date
07/22/2022
Last updated
05/18/2026
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