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Evolve Life Centers Iop LLC

Mental Health Clinic/Center (Including Community Mental Health Center) in Pasadena, MD · enumerated 2022 · authorized official Jessie Costley, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568123966

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Registry record

Entity type Organization (Type 2)
Legal business name Evolve Life Centers Iop LLC
Other name <Unavail>
Parent organization Evolve Life Centers Iop LLC
Practice address 2528 Mountain Rd Ste 102-204, Pasadena, MD, 21122
Phone (443) 548-3733
Fax (410) 360-1675
Enumeration date Jan 7, 2022
Last updated in NPPES Mar 24, 2023

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

Authorized official

Name Jessie Costley
Title Credentialing Specialist
Phone (443) 548-3733

Other identifiers

Identifier Type State Issuer
200468200 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Evolve Life Centers Iop LLC?
The NPI for Evolve Life Centers Iop LLC is 1568123966, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Evolve Life Centers Iop LLC?
NPPES lists Jessie Costley (Credentialing Specialist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-24.