| Evolve Therapy Llc | |
|
201 International Cir Ste 230 Cockeysville MD 21030-1344 | |
| (443) 681-9133 | |
| Not Available |
| Full Name | Evolve Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 201 International Cir Ste 230, Cockeysville, Maryland |
| Authorized Official Name and Position | Lindsay Harvey (OWNER) |
| Authorized Official Contact | 4438270454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Therapy Llc 2120 Heritage Dr Baltimore MD 21209-1737 Ph: (443) 827-0454 | Evolve Therapy Llc 201 International Cir Ste 230 Cockeysville MD 21030-1344 Ph: (443) 681-9133 |
| NPI Number | 1164080297 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 06/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164080297 | NPI | - | NPPES |
| 1437647930 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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