| Evolve Counseling & Training Llc | |
|
55 S Commercial St Box 3a Manchester NH 03101-2606 | |
| (603) 716-1282 | |
| (603) 296-0839 |
| Full Name | Evolve Counseling & Training Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 55 S Commercial St, Manchester, New Hampshire |
| Authorized Official Name and Position | Heidi Page (PRINCIPLE) |
| Authorized Official Contact | 6037161282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Counseling & Training Llc 55 S Commercial St Box 3a Manchester NH 03101-2606 Ph: (603) 716-1282 | Evolve Counseling & Training Llc 55 S Commercial St Box 3a Manchester NH 03101-2606 Ph: (603) 716-1282 |
| NPI Number | 1518357797 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 01/27/2015 |
| Medicare PECOS PAC ID | 4981922093 |
|---|---|
| Medicare Enrollment ID | O20150421000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518357797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 946 (New Hampshire) | Primary |
| Provider Name | Heidi L Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164400032 PECOS PAC ID: 7416964051 Enrollment ID: I20060307000681 |
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