NPI | 1700681475 |
---|---|
Doing Business As | EVOLVE THERAPY PRACTICE |
Entity Type | Organization |
Authorized Contact | ASHLEY WILLHITE Credentialing 319-777-9536 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2025-02-17 |
Last Update Date | 2025-06-19 |