Organization
EVOLUTION PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
Active
Other names
Evolution Health
Organization subpart
No
Provider details
NPI number
Authorized official
AIJAY RICHARDS APRN, PMHNP (PMHNP)
(352) 575-3600
Entity
Organization
Contact information
Practice address
1204 NW 69TH TER STE B, GAINESVILLE, FL 32605-3139
(352) 575-3600
(352) 641-9592
Mailing address
1204 NW 69TH TER STE B, GAINESVILLE, FL 32605-3139
(352) 575-3600
(352) 559-0495
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/09/2021
Last updated
01/28/2024
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