Organization
EVOLVE WELLNESS CENTRE, LLC
Active
Parent organization
EVOLVE WELLNESS CENTRE, LLC
Other names
Evolve Wellness Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVOLVE WELLNESS CENTRE, LLC
Authorized official
DR. SHALANDA JUDGE EDD (OWNER)
(225) 206-4060
Entity
Organization
Contact information
Practice address
9080 GREENWELL ST, BATON ROUGE, LA 70812-2519
(225) 206-4060
(225) 372-8649
Mailing address
9080 GREENWELL ST, BATON ROUGE, LA 70812-2519
(225) 206-4060
(225) 372-8649
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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