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Organization

180 EVOLUTION PLLC

Active
Other names
180 Evolution Therapy, 180 Evolution PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
YAZMEEN NILAJA IRVING LCMHC (OWNER & PROVIDER)
(919) 995-8995
Entity
Organization

Contact information

Practice address
901 PAVERSTONE DR STE 12, RALEIGH, NC 27615-4708
(919) 995-8995
(984) 202-2089
Mailing address
901 PAVERSTONE DR, RALEIGH, NC 27615-4710
(919) 995-8995
(984) 202-2089

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
08/29/2024
Last updated
04/22/2026
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