Thought Evolution LLC.
Clinic/Center (Rehabilitation, Substance Use Disorder)

Address: 847 N Milton Ave, Baltimore, MD 21205-1613
Phone: 4439458581

Thought Evolution LLC. (NPI# 1831713536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1831713536
Entity Type Organization
Practice Address 847 N Milton Ave
MD 21205-1613
Practice Telephone 4439458581
Mailing Address 1111 Park Ave Apt 410
MD 21201-5608
Mailing Telephone 4439458581
Authorized Official Name John Marvin Brown (AO)
Authorized Official Telephone 4439458581
Authorized Official Credential LCADC
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name THOUGHT EVOLUTION LLC
Enumeration Date 2020-05-29
Last Update Date 2020-05-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QR0405X Clinic/Center · Rehabilitation, Substance Use Disorder Ambulatory Health Care Facilities

Secondary Practice Locations

Address Telephone Number Fax Number
2307 Ashland Ave, Baltimore, MD 212051625 4439458581
2308 Ashland Ave, Baltimore, MD 212051626 4439458581

Providers with the same name

NPI Name Taxonomy Address Enumeration
1467817049 Thought Evolution LLC. Community/Behavioral Health 1111 Park Ave Apt 410, Baltimore, MD 21201-5608 2015-12-23

Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Office Location

Street Address 847 N MILTON AVE
State MD
Zip Code 21205-1613

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NPI Name Taxonomy Address Enumeration
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1700342250 Ruth Leeanna Williams Social Worker 504 N. Caroline Street, Baltimore, MD 21205 2019-02-20
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1013334929 Crystal Diane Salcido Psychiatry & Neurology 855 N Wolfe St Ste 300, Baltimore, MD 21205 2014-03-28
1487088464 Laura Mitchell Nurse Practitioner 707 N. Broadway Ave, Baltimore, MD 21205 2013-08-27
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1356695993 Kalpana Prasad Student in an Organized Health Care Education/Training Program 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 2012-11-05
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Zip Code 21205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.