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Organization
EVOLUTION PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
Active
Organization
EVOLUTION PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
Active
Other names
Evolution Health
Organization subpart
No
Provider details
NPI number
Authorized official
AIJAY RICHARDS APRN, PMHNP (PMHNP)
(352) 575-3600
Entity
Organization
Contact information
Practice address
1204 NW 69TH TER STE B, GAINESVILLE, FL 32605-3139
(352) 575-3600
(352) 641-9592
Mailing address
1204 NW 69TH TER STE B, GAINESVILLE, FL 32605-3139
(352) 575-3600
(352) 559-0495
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/09/2021
Last updated
01/28/2024
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