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NPI Code Detail

MEDICARE: EVOK WELLNESS LLC

MEDICARE: EVOK WELLNESS 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1568347912
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVOK WELLNESS LLC
Provider Business Mailing Address
First Line : 2222 MONUMENT AVE STE 1
Second Line :
City : RICHMOND
State : VA
Zip : 23220-2724
Country : US
Telephone Number : 804-214-7402
Fax Number :
Provider Business Practice Location Address
First Line : 2318 E MARSHALL ST
Second Line :
City : RICHMOND
State : VA
Zip : 23223-7147
Country : US
Telephone Number : 757-285-0337
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DESIREE TURNER
Credential : LCSW
Telephone Number : 757-375-0662
Provider Enumeration Date : 08/06/2025
Last Update Date : 12/01/2025

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Directions to “EVOK WELLNESS LLC ” Practice Location

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