| Evolving Essence Llc | |
|
16223 Highway F Preston MO 65732-7634 | |
| (417) 733-1576 | |
| Not Available |
| Full Name | Evolving Essence Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16223 Highway F, Preston, Missouri |
| Authorized Official Name and Position | Shelana Mae Carneal (OWNER) |
| Authorized Official Contact | 4177331576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Essence Llc 16223 Highway F Preston MO 65732-7634 Ph: (417) 733-1576 | Evolving Essence Llc 16223 Highway F Preston MO 65732-7634 Ph: (417) 733-1576 |
| NPI Number | 1487426896 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487426896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |