Organization
LIFE EVOLVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN JOHNSON (OWNER)
(804) 437-0237
Entity
Organization
Contact information
Practice address
7277 HANOVER GREEN DR, MECHANICSVILLE, VA 23111-1764
(804) 437-0237
Mailing address
7277 HANOVER GREEN DR, MECHANICSVILLE, VA 23111-1764
(804) 789-8747
(804) 789-8867
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
02/18/2026
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