| Evolve Empower Counseling | |
|
108 Exchange Pl Ste 290 Lafayette LA 70503-2558 | |
| (337) 901-2513 | |
| (337) 777-1577 |
| Full Name | Evolve Empower Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 108 Exchange Pl Ste 290, Lafayette, Louisiana |
| Authorized Official Name and Position | Tanya Porter (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3372988605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Empower Counseling 108 Exchange Pl Ste 290 Lafayette LA 70503-2558 Ph: (337) 901-2513 | Evolve Empower Counseling 108 Exchange Pl Ste 290 Lafayette LA 70503-2558 Ph: (337) 901-2513 |
| NPI Number | 1437928629 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437928629 | NPI | - | NPPES |
| 3338106 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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