| Evans Psychological And Counseling Services, Llc | |
|
2520 California St Ste B Columbus IN 47201-3677 | |
| (812) 552-1650 | |
| (812) 376-5941 |
| Full Name | Evans Psychological And Counseling Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2520 California St Ste B, Columbus, Indiana |
| Authorized Official Name and Position | Karl Wesley Evans (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8125521650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evans Psychological And Counseling Services, Llc 911 Peregrine Dr Columbus IN 47203-1765 Ph: (812) 552-1650 | Evans Psychological And Counseling Services, Llc 2520 California St Ste B Columbus IN 47201-3677 Ph: (812) 552-1650 |
| NPI Number | 1225862386 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Medicare PECOS PAC ID | 9739613878 |
|---|---|
| Medicare Enrollment ID | O20241112001033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225862386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karl Wesley Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558433433 PECOS PAC ID: 8820063191 Enrollment ID: I20040831000106 |
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