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EVOLUTIONARY INTERVENTION LLC
NPI 1679846505
Community/Behavioral Health in Southfield, MI

Active since February 23, 2012
17348 W 12 MILE RD, SUITE 106, SOUTHFIELD, MI 48076(888) 492-9386(888) 492-9386 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2021, Mar 10, 2021 (2 updates tracked since 2021).

About Evolutionary Intervention Llc NPPES

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

EVOLUTIONARY INTERVENTION LLC (NPI 1679846505) is a healthcare organization registered as a community/behavioral health in Southfield, Michigan and active in the NPI registry since February 2012. The organization lists Sharon C Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1679846505
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEVOLUTIONARY INTERVENTION LLC
Location Address17348 W 12 MILE RD, SUITE 106Southfield, MI 48076-2120
Mailing AddressPo Box 760224Lathrup Village, MI 48076-0224
Phone(888) 492-9386
Fax(888) 492-9386
Organization SubpartNo
Authorized OfficialSharon C JacksonOwner · (888) 492-9386
Enumeration DateFebruary 23, 2012
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1679846505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
17348 W 12 MILE RD, Southfield, MI 48076
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DARNELL LEWIS
Social Worker (Clinical)
17348 W 12 MILE RD, SUITE 106
SOUTHFIELD, MI 48076
Oakland County (248) 910-5815

Frequently Asked Questions

What is EVOLUTIONARY INTERVENTION LLC's NPI number?

The NPI number assigned to this healthcare provider is 1679846505, enumerated as an "organization" on February 23, 2012.

Where is the provider located?

The provider is located at 17348 W 12 MILE RD SUITE 106 SOUTHFIELD, MI 48076 and the phone number is (888) 492-9386.

What is the provider's specialty?

Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does EVOLUTIONARY INTERVENTION LLC accept?

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.