Organization
EVOLVE HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHEA EARLENE HARRIS LICSW (OWNER/OPERATOR)
(612) 209-9214
Entity
Organization
Contact information
Practice address
8408 BROOKLYN BLVD, BROOKLYN PARK, MN 55445-2308
(612) 209-9214
Mailing address
8408 BROOKLYN BLVD, BROOKLYN PARK, MN 55445-2308
(612) 209-9214
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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