| Evolve Therapeutic Services Llc | |
|
415 N Mckinley St Ste 865 Little Rock AR 72205-3013 | |
| (501) 416-7777 | |
| Not Available |
| Full Name | Evolve Therapeutic Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 415 N Mckinley St Ste 865, Little Rock, Arkansas |
| Authorized Official Name and Position | Rebecca Alycson Aldea (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5014167777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Therapeutic Services Llc 415 N Mckinley St Ste 865 Little Rock AR 72205-3013 Ph: (501) 416-7777 | Evolve Therapeutic Services Llc 415 N Mckinley St Ste 865 Little Rock AR 72205-3013 Ph: (501) 416-7777 |
| NPI Number | 1902526510 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 12/14/2022 |
| Certification Date | 12/14/2022 |
| Medicare PECOS PAC ID | 4688047392 |
|---|---|
| Medicare Enrollment ID | O20230228002077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902526510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Taisha Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760626840 PECOS PAC ID: 9638313117 Enrollment ID: I20130924000261 |
| Provider Name | Rebecca Alycson Aldea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972747228 PECOS PAC ID: 2163729724 Enrollment ID: I20230228002601 |
| Provider Name | Nancy Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346854239 PECOS PAC ID: 9335512052 Enrollment ID: I20230516003280 |
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