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General NPI Number Information
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NPI Number | 1831061274
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Entity Type | Organization
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Legal Business Name | GUIDED EVOLUTIONS LLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 11815 FOUNTAIN WAY STE 300
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4448
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Country | US
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Telephone | 757-535-0761
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8041
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City | HAMPTON
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State | VA
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Zip | 23666-8041
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Country | US
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Telephone | 757-535-0761
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DENISE RICK
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Credential |
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Telephone | 757-535-0761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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