| Evolve Counseling Services LLC | |
|
2304 28th Ave E Palmetto FL 34221-1242 | |
| (347) 797-8147 | |
| Not Available |
| Full Name | Evolve Counseling Services LLC |
|---|---|
| Speciality | Counselor |
| Location | 2304 28th Ave E, Palmetto, Florida |
| Authorized Official Name and Position | Asha Monique Griffith (OWNER) |
| Authorized Official Contact | 3477978147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Counseling Services LLC 2304 28th Ave E Palmetto FL 34221-1242 Ph: (347) 797-8147 | Evolve Counseling Services LLC 2304 28th Ave E Palmetto FL 34221-1242 Ph: (347) 797-8147 |
| NPI Number | 1689350365 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 03/19/2026 |
| Certification Date | 03/19/2026 |
| Medicare PECOS PAC ID | 1254864762 |
|---|---|
| Medicare Enrollment ID | O20241022005463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689350365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
| Provider Name | Jasmine a Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376213611 PECOS PAC ID: 9931507092 Enrollment ID: I20211005000974 |
| Provider Name | Asha Monique Griffith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699106633 PECOS PAC ID: 2163955675 Enrollment ID: I20241022005472 |
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