| Evolve Therapy And Wellness Llc | |
|
162 Deluca Dr Science Hill KY 42553-9053 | |
| (606) 541-1067 | |
| Not Available |
| Full Name | Evolve Therapy And Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 162 Deluca Dr, Science Hill, Kentucky |
| Authorized Official Name and Position | Kelli N Jordan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6065411067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Therapy And Wellness Llc 162 Deluca Dr Science Hill KY 42553-9053 Ph: (606) 541-1067 | Evolve Therapy And Wellness Llc 162 Deluca Dr Science Hill KY 42553-9053 Ph: (606) 541-1067 |
| NPI Number | 1417739418 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417739418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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