Organization
EVOLUTIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEEL A PATEL MD (CEO)
(304) 615-8102
Entity
Organization
Contact information
Practice address
1504 GRAND CENTRAL AVE, VIENNA, WV 26105-1058
(877) 219-8726
(847) 960-5360
Mailing address
PO BOX 3120, MUNSTER, IN 46321-0120
(877) 219-8726
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
09/15/2022
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