Provider Demographics
NPI:1851749261
Name:BEGIN TO EVOLVE, LLC
Entity Type:Organization
Organization Name:BEGIN TO EVOLVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORELAND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:816-726-8770
Mailing Address - Street 1:9419 E 63RD ST
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-4903
Mailing Address - Country:US
Mailing Address - Phone:816-726-8770
Mailing Address - Fax:816-817-4666
Practice Address - Street 1:9419 E 63RD ST
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-4903
Practice Address - Country:US
Practice Address - Phone:816-726-8770
Practice Address - Fax:816-817-4666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011016801101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty