Provider Demographics
NPI:1013099191
Name:EVOLVING WOMAN ENTERPRISES, INC.
Entity Type:Organization
Organization Name:EVOLVING WOMAN ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:SCHUCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:952-835-1616
Mailing Address - Street 1:7300 METRO BLVD
Mailing Address - Street 2:SUITE 455
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2303
Mailing Address - Country:US
Mailing Address - Phone:952-835-1616
Mailing Address - Fax:952-835-6182
Practice Address - Street 1:7300 METRO BLVD
Practice Address - Street 2:SUITE 455
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2328
Practice Address - Country:US
Practice Address - Phone:952-835-1616
Practice Address - Fax:952-835-6182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN309863000OtherMN HEALTH CARE PROGRAMS
MN472358OtherVALUE OPTIONS
MN6262616OtherUNITED BEHAVIORAL HEALTH
MNHP36730OtherHEALTHPARTNERS
MN250597OtherMHN
MN250597OtherMANAGED HEALTH NETWORK
MN263K2SCOtherBLUE CROSS/BLUE SHIELD
MN410958868 0069OtherCIGNA
MN472358OtherVALUE OPTIONS