EVOLUTION RECOVERY SERVICES LLC
NPI 1063093748
Counselor - Addiction (Substance Use Disorder) in Williamsburg, VA

Active since April 15, 2021CLIA 49D2314151 · Waiver
4622 ROCHAMBEAU DR, WILLIAMSBURG, VA 23188(757) 239-1462 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evolution Recovery Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVOLUTION RECOVERY SERVICES LLC (NPI 1063093748), doing business as Evolution House Llc, is a healthcare organization registered as an addiction (substance use disorder) in Williamsburg, Virginia and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Jefferey Carver, Owner, as its authorized official.

NPPES Registry Identity

NPI1063093748
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameEVOLUTION RECOVERY SERVICES LLC
Location Address4622 ROCHAMBEAU DRWilliamsburg, VA 23188-7114
Mailing AddressPo Box 485Norge, VA 23127-0485 · (757) 239-1462
Organization SubpartNo
Authorized OfficialJefferey CarverOwner · (757) 239-1462
Enumeration DateApril 15, 2021
NPPES CertifiedApril 15, 2021
NPI 1063093748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4622 ROCHAMBEAU DR, Williamsburg, VA 23188

Other Names 1

Doing Business AsEvolution House Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2314151

Evolution Recovery Services, LLC · Williamsburg, VA
Active · expires Nov 13, 2026
CLIA Number49D2314151
Laboratory TypeAsam L2.5 &2.1
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorAlex Mcclelland
Laboratory Phone(757) 705-3202
Laboratory LocationEvolution Recovery Services, LLC3404 Acorn Street, Williamsburg, VA 23188
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2265910

Evolution Recovery Services LLC · Williamsburg, VA
Expired · Aug 2, 2026
CLIA Number49D2265910
Laboratory TypeResident Tx Facility
Certificate Effective DateAugust 3, 2024
Certificate Expiration DateAugust 2, 2026
Laboratory DirectorAlex Mcclelland
Laboratory Phone(757) 705-3202
Laboratory LocationEvolution Recovery Services LLC4622 Rochambeau Dr, Williamsburg, VA 23188
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4622 ROCHAMBEAU DR
WILLIAMSBURG, VA 23188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evolution Recovery Services LLC's NPI number?

The NPI number for Evolution Recovery Services LLC is 1063093748. It was assigned to this organization in the NPPES registry on April 15, 2021. The provider is doing business as Evolution House LLC.

Where is Evolution Recovery Services LLC located?

Evolution Recovery Services LLC is located at 4622 Rochambeau Dr, Williamsburg, VA 23188. The listed phone number is (757) 239-1462.

What is Evolution Recovery Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does Evolution Recovery Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2314151) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evolution Recovery Services LLC was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.