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Organization

EVOLVE HEALTH AND WELLNESS

Active
Other names
Evolve Health and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
NINI MAI BUTLER (CEO/OWNER)
(212) 945-7300
Entity
Organization

Contact information

Practice address
126 5TH AVENUE SUITE 10B, NEW YORK, NY 10011
(212) 945-7300
(646) 844-7288
Mailing address
126 5TH AVENUE SUITE 10B, NEW YORK, NY 10011
(212) 945-7300
(646) 844-7288

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
083759
NY
111N00000X
Chiropractor
70012360
NY
171100000X
Acupuncturist
000704
NY
171100000X
Acupuncturist
003223
NY
171100000X
Acupuncturist
Primary
005245
NY
171100000X
Acupuncturist
25005313
NY

Other

Enumeration date
07/21/2016
Last updated
12/12/2025
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