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EVOLVE LIFE CENTERS IOP LLC
NPI 1851838643
Clinic/Center - Rehabilitation, Substance Use Disorder in Pasadena, MD

Active since January 31, 2017
2528 MOUNTAIN RD, SUITE 102-103 AND 201-204, PASADENA, MD 21122(443) 548-3733(410) 360-1675 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2024, Mar 24, 2023, Jan 26, 2023 and 5 more (8 updates tracked since 2017).

About Evolve Life Centers Iop Llc NPPES

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

EVOLVE LIFE CENTERS IOP LLC (NPI 1851838643) is a healthcare organization registered as a rehabilitation, substance use disorder in Pasadena, Maryland and active in the NPI registry since January 2017. The organization lists Jessie Costley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1851838643
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameEVOLVE LIFE CENTERS IOP LLC
Location Address2528 MOUNTAIN RD, SUITE 102-103 AND 201-204Pasadena, MD 21122-7203
Mailing Address2528 Mountain RdPasadena, MD 21122-7203 · (410) 456-7404 · Fax (410) 360-1675
Phone(443) 548-3733
Fax(410) 360-1675
Organization SubpartNo
Authorized OfficialJessie CostleyAdministrator · (443) 548-3733
Enumeration DateJanuary 31, 2017
Last NPPES UpdateJune 14, 20248 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1851838643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
2528 MOUNTAIN RD, Pasadena, MD 21122
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Other Identifiers 1

Medicaid200319800MD

Other Providers at the Same Location NPPES 10

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

NEW LIFE ADDICTION COUNSELING SERVICES, INC.
Counselor (Mental Health)
2528 MOUNTAIN RD, SUITE 204
PASADENA, MD 21122
Anne Arundel County (410) 255-4475
MR. EDWARD J THOMAS JR.
Social Worker
2528 MOUNTAIN RD
PASADENA, MD 21122
Anne Arundel County (443) 548-3733
PAMELA NICOLE FAIRBROTHER CSC-AD
Counselor (Addiction (Substance Use Disorder))
2528 MOUNTAIN RD
PASADENA, MD 21122
Anne Arundel County (443) 548-3733
SARA BURDEN
Community/Behavioral Health
2528 MOUNTAIN RD, STE. 202
PASADENA, MD 21122
Anne Arundel County (410) 456-7404
DR. ANNIE E TABI PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2528 MOUNTAIN RD
PASADENA, MD 21122
Anne Arundel County (443) 548-3733
DR. NATALE JOSEPH GAGLIARDI M.D.
Family Medicine (Addiction Medicine)
2528 MOUNTAIN RD, #204
PASADENA, MD 21122
Anne Arundel County (410) 255-4475
MISS BARBARA J. FOWLER CAC-AD
Counselor (Addiction (Substance Use Disorder))
2528 MOUNTAIN RD, SUITE 204
PASADENA, MD 21122
Anne Arundel County (410) 255-4475
NEW LIFE ADDICTION COUNSELING SERVICES, INC.
Psychiatry & Neurology (Psychiatry)
2528 MOUNTAIN RD, #204
PASADENA, MD 21122
Anne Arundel County (410) 255-4475

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 Evolve Life Centers Iop LLC's NPI number?

The NPI number for Evolve Life Centers Iop LLC is 1851838643. It was assigned to this organization in the NPPES registry on January 31, 2017.

Where is Evolve Life Centers Iop LLC located?

Evolve Life Centers Iop LLC is located at 2528 Mountain Rd Suite 102-103 And 201-204, Pasadena, MD 21122. The listed phone number is (443) 548-3733.

What is Evolve Life Centers Iop LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Evolve Life Centers Iop LLC was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.