MEDICARE: EVOLVE THERAPY SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1053132357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVOLVE THERAPY SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1803 CANTERBURY DR STE C
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-0505
Country	:	US
Telephone Number	:	229-560-6600
Fax Number	:	229-252-8673

Provider Business Practice Location Address
First Line	:	1803 CANTERBURY DR STE C
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-0505
Country	:	US
Telephone Number	:	229-560-6600
Fax Number	:	229-252-8673

Authorized Official
Title or Position	:	OWNER/SPEECH LANGUAGE PATHOLOGIST
Name	:	VICTORIA ROSE LOVETT HERRING
Credential	:	M.ED., CCC-SLP
Telephone Number	:	229-560-6600

Provider Enumeration Date	:	10/18/2024
Last Update Date	:	05/26/2026

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Directions to “EVOLVE THERAPY SOLUTIONS LLC ” Practice Location

Language	Start Address	Practice Location

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