Organization
EVOLVE SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA WHITNEY WILLIAMS-JERRELL (OWNER/DIRECTOR)
(704) 839-1977
Entity
Organization
Contact information
Practice address
10936 GOLD PAN RD, CHARLOTTE, NC 28215-8603
(704) 839-1977
Mailing address
10936 GOLD PAN RD, CHARLOTTE, NC 28215-8603
(704) 839-1977
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/16/2025
Last updated
07/25/2025
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