| Evolve Ventures Technologies Llc | |
|
2 Jackson Ct Unit 2 Uxbridge MA 01569-3129 | |
| (508) 918-5234 | |
| Not Available |
| Full Name | Evolve Ventures Technologies Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2 Jackson Ct Unit 2, Uxbridge, Massachusetts |
| Authorized Official Name and Position | Emilia Smith (CEO) |
| Authorized Official Contact | 5089185234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Ventures Technologies Llc 2 Jackson Ct Unit 2 Uxbridge MA 01569-3129 Ph: (508) 918-5234 | Evolve Ventures Technologies Llc 2 Jackson Ct Unit 2 Uxbridge MA 01569-3129 Ph: (508) 918-5234 |
| NPI Number | 1912722562 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 11/19/2024 |
| Certification Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912722562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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