Organization
DEVELOPMENTAL EVOLUTION, LLC
Active
Other names
Mental and Social Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHOR MSW (MEMBER)
(304) 725-4160
Entity
Organization
Contact information
Practice address
667 HUYETT RD, CHARLES TOWN, WV 25414-5378
(304) 725-4160
Mailing address
44 PADDOCK PL, CHARLES TOWN, WV 25414-5329
(304) 725-4160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00944336
WV
Other
Enumeration date
06/15/2014
Last updated
06/15/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up