EVOLVE GROWTH INITIATIVES LLC – NPI #1861342404
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

EVOLVE GROWTH INITIATIVES LLC is an AHC clinic located in ELK GROVE, CA. NPPES has assigned the NPI number 1861342404 to EVOLVE GROWTH INITIATIVES LLC on February 02, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was last updated on Mar 24, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVOLVE GROWTH INITIATIVES LLC below.

NPI Profile for
EVOLVE GROWTH INITIATIVES LLC

NPI Number
1861342404
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVOLVE GROWTH INITIATIVES LLC
Other name(s)
All associated names:
Other Name
Evolve Teen Outpatient Treatment Center - Elk Grove
Doing Business As (dba)
Evolve Treatment Centers Elk Grove Outpatient
Primary location
2208 KAUSEN DR STE 200
ELK GROVE, CA 95758-7174
Phone: (855) 490-0302 Fax:
Mailing address
360 N PACIFIC COAST HWY STE 1010
EL SEGUNDO, CA 90245-4413
Phone: (424) 290-3360 Fax: (424) 290-3355
Organization Subpart
Yes - EVOLVE GROWTH INITIATIVES LLC is subpart of another organization.
Authorized Official
EDDY LAI
CFO
Phone: (424) 290-3360
Updated
Certification Date
Mar 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.