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Organization

EVOLVING MINDS SERVICES LLC

Active
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Organization

EVOLVING MINDS SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA A CHULDZHYAN M. SPED (PRESIDENT)
(818) 321-3254
Entity
Organization

Contact information

Practice address
10942 MCVINE AVE, SUNLAND, CA 91040-2133
(818) 321-3254
Mailing address
2629 FOOTHILL BLVD # 140, LA CRESCENTA, CA 91214-3511
(818) 321-3254

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
2080P0006X
Developmental - Behavioral Pediatrics Physician
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
03/24/2025
Last updated
03/25/2025
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