Organization
EVOLVIA NEURO-BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULSEN MYLES (OWNER)
(623) 703-8236
Entity
Organization
Contact information
Practice address
1126 W HELENA DR, PHOENIX, AZ 85023-2626
(602) 921-4143
Mailing address
109 BISHOP RD, CROCKETT, CA 94525-1515
(623) 703-8236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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