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Evolutionary Intervention LLC

Community/Behavioral Health Agency in Southfield, MI · enumerated 2012 · authorized official Sharon Jackson, Owner.

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

National Provider Identifier

1679846505

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Registry record

Entity type Organization (Type 2)
Legal business name Evolutionary Intervention LLC
Practice address 17348 W 12 Mile Rd, Suite 106, Southfield, MI, 48076
Fax (888) 492-9386
Enumeration date Feb 23, 2012
Last updated in NPPES May 20, 2021

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Sharon Jackson
Title Owner

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 type of organization is Evolutionary Intervention LLC?
Evolutionary Intervention LLC is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-20.