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Organization

EVOLVING MINDS THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CANDANCE CODE OTD, OTR/L (PARTNER/EXECUTIVE DIRECTOR)
(662) 719-9211
Entity
Organization

Contact information

Practice address
1271 S SUBER RD STE B, GREER, SC 29650-0940
(864) 655-5845
(864) 469-2040
Mailing address
2106 OLD SPARTANBURG RD, GREER, SC 29650-2763
(864) 244-0405
(864) 469-2040

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
224Z00000X
Occupational Therapy Assistant
2251P0200X
Pediatric Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
06/06/2026
Last updated
06/06/2026
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