Organization
EVOLVE WELLNESS LLC
Active
Organization
EVOLVE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELEINE NAVARRO DIAZ (OWNER)
(725) 204-2578
Entity
Organization
Contact information
Practice address
3430 E FLAMINGO RD STE 309, LAS VEGAS, NV 89121-5066
(725) 204-2578
Mailing address
3430 E FLAMINGO RD STE 309, LAS VEGAS, NV 89121-5066
(702) 427-9040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
05/22/2023
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