Organization
EVOLVE LIFE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANYE CARSON (OWNER)
(602) 579-1711
Entity
Organization
Contact information
Practice address
209 E BASELINE RD STE 102, #2, TEMPE, AZ 85283-1269
(602) 579-1711
Mailing address
111 E BETH DR, PHOENIX, AZ 85042-7657
(602) 579-1711
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/29/2023
Last updated
01/23/2024
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