| Evolve Therapy Group, Llc. | |
|
34 Burr Rd Lyme CT 06371-1102 | |
| (860) 575-9237 | |
| Not Available |
| Full Name | Evolve Therapy Group, Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 34 Burr Rd, Lyme, Connecticut |
| Authorized Official Name and Position | Julia Jean Polland (PART-OWNER) |
| Authorized Official Contact | 8605759237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Therapy Group, Llc. 34 Burr Rd Lyme CT 06371-1102 Ph: (860) 575-9237 | Evolve Therapy Group, Llc. 34 Burr Rd Lyme CT 06371-1102 Ph: (860) 575-9237 |
| NPI Number | 1841944105 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 02/07/2022 |
| Certification Date | 02/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841944105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Coaching For The Chronically Ill, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Hickory St, Lyme, CT 06371 Phone: 561-951-0917 |