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Organization
180 EVOLUTION PLLC
Active
Organization
180 EVOLUTION PLLC
Active
Other names
180 Evolution Therapy, 180 Evolution PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
YAZMEEN NILAJA IRVING LCMHC (OWNER & PROVIDER)
(919) 995-8995
Entity
Organization
Contact information
Practice address
901 PAVERSTONE DR STE 12, RALEIGH, NC 27615-4708
(919) 995-8995
(984) 202-2089
Mailing address
901 PAVERSTONE DR, RALEIGH, NC 27615-4710
(919) 995-8995
(984) 202-2089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/29/2024
Last updated
04/22/2026
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