| Evolve Counseling, Pllc | |
|
166 S 5th St Selmer TN 38375-2050 | |
| (731) 610-8862 | |
| Not Available |
| Full Name | Evolve Counseling, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 166 S 5th St, Selmer, Tennessee |
| Authorized Official Name and Position | Stephanie I Braveeagle (LCSW/OWNER/DIRECTOR) |
| Authorized Official Contact | 7316108862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Counseling, Pllc 166 S 5th St Selmer TN 38375-2050 Ph: (731) 610-8862 | Evolve Counseling, Pllc 166 S 5th St Selmer TN 38375-2050 Ph: (731) 610-8862 |
| NPI Number | 1578389268 |
|---|---|
| Provider Enumeration Date | 11/26/2024 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578389268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Evergreen Center For Counseling, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 W Cherry Ave, Selmer, TN 38375 Phone: 731-645-8813 Fax: 731-645-8814 |