MEDICARE: EVOLUTION FAMILY SERVICES

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	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1629936562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVOLUTION FAMILY SERVICES

Provider Business Mailing Address
First Line	:	2340 TEXAS HERITAGE PKWY STE 700-304
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-4635
Country	:	US
Telephone Number	:	410-302-3308
Fax Number	:

Provider Business Practice Location Address
First Line	:	29723 OUSEL FALLS LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-8118
Country	:	US
Telephone Number	:	410-302-3308
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JUSTIN B MILES
Credential	:
Telephone Number	:	410-302-3308

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “EVOLUTION FAMILY SERVICES ” Practice Location

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