| Evolution Clinical Counseling And Services | |
|
149c Green St Grenada MS 38901-2618 | |
| (662) 614-4441 | |
| (601) 510-7558 |
| Full Name | Evolution Clinical Counseling And Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 149c Green St, Grenada, Mississippi |
| Authorized Official Name and Position | Angela D. Miller (CLINICIAN/OWNER) |
| Authorized Official Contact | 6626144441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Clinical Counseling And Services 751 Choctaw St Grenada MS 38901-5317 Ph: (662) 614-4441 | Evolution Clinical Counseling And Services 149c Green St Grenada MS 38901-2618 Ph: (662) 614-4441 |
| NPI Number | 1730043423 |
|---|---|
| Provider Enumeration Date | 12/16/2025 |
| Last Update Date | 12/16/2025 |
| Certification Date | 12/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730043423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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