| Evolve Behavioral Health, Llc | |
|
2904 Mall Rd Florence AL 35630-1641 | |
| (256) 767-3330 | |
| (949) 695-4340 |
| Full Name | Evolve Behavioral Health, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2904 Mall Rd, Florence, Alabama |
| Authorized Official Name and Position | Jessi Blackstock Tidwell (CO- OWNER) |
| Authorized Official Contact | 2563940880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Behavioral Health, Llc 2904 Mall Rd Florence AL 35630-1641 Ph: (256) 767-3330 | Evolve Behavioral Health, Llc 2904 Mall Rd Florence AL 35630-1641 Ph: (256) 767-3330 |
| NPI Number | 1316708993 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 03/28/2025 |
| Medicare PECOS PAC ID | 9032559521 |
|---|---|
| Medicare Enrollment ID | O20240501001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316708993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Evans N Mize |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831414358 PECOS PAC ID: 6709031750 Enrollment ID: I20160125001896 |
| Provider Name | Deborah A Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164980017 PECOS PAC ID: 1355677741 Enrollment ID: I20190723001961 |
| Provider Name | Jessi Blackstock Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013556356 PECOS PAC ID: 3476938606 Enrollment ID: I20220923001027 |
Cardiovascular Institute Of The Shoals Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2095 Florence Blvd, Florence, AL 35630 Phone: 256-766-2310 Fax: 256-768-9956 | |
Singing River Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 503 W College St, Florence, AL 35630 Phone: 256-766-3593 | |
The Health Care Authority Of Lauderdale County And The City Of Florenc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 | |
Advantage Family Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Cox Creek Pkwy, Florence, AL 35630 Phone: 256-349-5496 Fax: 256-349-5497 | |
Vinaya K Yadla Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2115 Cloyd Blvd, Suite 5, Florence, AL 35630 Phone: 256-766-0060 Fax: 256-766-2111 | |
Infection Care Of North Alabama Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Cloyd Blvd, Suite 5, Florence, AL 35630 Phone: 917-623-2969 | |
Florence Medical Associates, L. L. C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 646 Cox Creek Pkwy, Suite B, Florence, AL 35630 Phone: 256-760-4544 Fax: 256-246-0033 |