Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Personal Evolution LLC

Organization Counselor · NPI 1598260630

Personal Evolution LLC provides Counselor services in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2018.

Licensed in
NJ, PA
In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

430 Belgrade St Fl 1
Philadelphia, PA 19125-2621
Phone: (267) 764-1997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC009315 (PA)
Counselor Taxonomy 101Y00000X
Professional Counselor Taxonomy 101YP2500X · Licence 37PC00477600 (NJ)

Record details

NPI number1598260630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Glick — Ceo/Founder · (215) 469-1155
Other names Fishtown Wellness Center
NPI enumeratedMarch 29, 2018
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address430 Belgrade St Fl 1, Philadelphia, PA 19125-2621

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