| Evolving Changes Counseling Services LLC | |
|
18600 Florence St Ste C23 Roseville MI 48066-6600 | |
| (313) 888-7863 | |
| Not Available |
| Full Name | Evolving Changes Counseling Services LLC |
|---|---|
| Speciality | Social Worker |
| Location | 18600 Florence St Ste C23, Roseville, Michigan |
| Authorized Official Name and Position | Lakeita Cobb (OWNER) |
| Authorized Official Contact | 3138050384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Changes Counseling Services LLC 19074 Lister Ave Eastpointe MI 48021-2740 Ph: (313) 888-7863 | Evolving Changes Counseling Services LLC 18600 Florence St Ste C23 Roseville MI 48066-6600 Ph: (313) 888-7863 |
| NPI Number | 1063235604 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 10/24/2025 |
| Certification Date | 10/24/2025 |
| Medicare PECOS PAC ID | 1658862875 |
|---|---|
| Medicare Enrollment ID | O20251117000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063235604 | NPI | - | NPPES |
| Provider Name | Lakeita Cobb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740702042 PECOS PAC ID: 8921457201 Enrollment ID: I20231212002018 |
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