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NPI Code Detail

MEDICARE: WEVOLVE LLC

MEDICARE: WEVOLVE 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
1251S00000XCommunity/Behavioral Health Agency
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3261Q00000XClinic/Center
4261QR0800XRecovery Care Clinic/Center

General Provider Information

NPI Number : 1336717644
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEVOLVE LLC
Provider Business Mailing Address
First Line : 2321 DUNN AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3214
Country : US
Telephone Number : 307-314-9789
Fax Number :
Provider Business Practice Location Address
First Line : 2321 DUNN AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3214
Country : US
Telephone Number : 307-314-9789
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KIRBIE BROWN
Credential : LCSW
Telephone Number : 307-314-9789
Provider Enumeration Date : 06/14/2021
Last Update Date : 03/24/2026

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Directions to “WEVOLVE LLC ” Practice Location

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