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Active NPI 1336018373 Organization (Entity Type 2)

Evolate Llc

Counselor - Professional • Tulsa, OK

About Evolate Llc NPI 1336018373 Summary

Evolate Llc is a verified healthcare organization specializing in Counselor - Professional operating in Tulsa, OK. Located at 5634 E 78TH PL, this facility provides patient care and medical services under National Provider Identifier (NPI) 1336018373.

Administrative operations and authorized compliance are overseen by Holley Elam (Provider).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

5634 E 78th Pl

Tulsa, OK 741368413

Telephone 9185007629

Authorized Official Information

Authorized Contact Name

Holley Elam , LPC

Title / Role

Provider

Official Telephone

9185007629

Facility Classifications & Specialties

Counselor - Professional Primary Taxonomy

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked
Holley Elam , LPC NPI 1629583620

Counselor - Professional

Tulsa, OK

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active October 29, 2025

NPI status registered as active in NPPES database

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Updated Practice Location October 29, 2025

Registered at 5634 E 78TH PL, TULSA, OK 741368413 (Tel: 9185007629)

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Updated Business Mailing Address October 29, 2025

Registered at 5634 E 78TH PL, TULSA, OK 741368413 (Tel: 9185007629)

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Organization / Clinic Name Updated October 29, 2025

Operating as EVOLATE LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2025

Counselor

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Initial NPI Registration & Enumeration October 29, 2025

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1336018373
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 29, 2025
Last Update: October 29, 2025

Mailing Address

5634 E 78th Pl

Tulsa, OK 741368413

Phone: 9185007629

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.