| Evolve Psychiatry And Wellness | |
|
N51w34306 Park Bay Rd Okauchee WI 53069-9712 | |
| (414) 531-2933 | |
| Not Available |
| Full Name | Evolve Psychiatry And Wellness |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | N51w34306 Park Bay Rd, Okauchee, Wisconsin |
| Authorized Official Name and Position | Abby Jean Baneck (CEO, PROVIDER) |
| Authorized Official Contact | 4145312933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Psychiatry And Wellness N51w34306 Park Bay Rd Okauchee WI 53069-9712 Ph: (414) 531-2933 | Evolve Psychiatry And Wellness N51w34306 Park Bay Rd Okauchee WI 53069-9712 Ph: (414) 531-2933 |
| NPI Number | 1275369647 |
|---|---|
| Provider Enumeration Date | 09/11/2024 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275369647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |