| Evolution Counseling | |
|
413 4th St Ne Ste 1 Devils Lake ND 58301-2542 | |
| (701) 665-3263 | |
| Not Available |
| Full Name | Evolution Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 413 4th St Ne Ste 1, Devils Lake, North Dakota |
| Authorized Official Name and Position | Sara Charlie Kelner (COUNSELOR) |
| Authorized Official Contact | 7016653263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Counseling 1028 4th St Ne Devils Lake ND 58301-2702 Ph: (701) 665-3263 | Evolution Counseling 413 4th St Ne Ste 1 Devils Lake ND 58301-2542 Ph: (701) 665-3263 |
| NPI Number | 1073187860 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 06/09/2021 |
| Certification Date | 06/09/2021 |
| Medicare PECOS PAC ID | 8820578644 |
|---|---|
| Medicare Enrollment ID | O20260219000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073187860 | NPI | - | NPPES |
| Provider Name | Heather Ann Gibbens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457995979 PECOS PAC ID: 1557841376 Enrollment ID: I20260226001933 |
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