| Evolutionary Holistic Healing | |
|
155 Broadway Kingston NY 12401-6057 | |
| (347) 387-2651 | |
| Not Available |
| Full Name | Evolutionary Holistic Healing |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 155 Broadway, Kingston, New York |
| Authorized Official Name and Position | Tiffany Schrepf (OWNER) |
| Authorized Official Contact | 3473872651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolutionary Holistic Healing 155 Broadway Kingston NY 12401-6057 Ph: (347) 387-2651 | Evolutionary Holistic Healing 155 Broadway Kingston NY 12401-6057 Ph: (347) 387-2651 |
| NPI Number | 1255948840 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255948840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (NU) | Secondary |
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
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