| Evolution Counseling Services, Llc | |
|
801 S Kettle St Altoona PA 16602-5521 | |
| (814) 201-2751 | |
| (814) 201-2758 |
| Full Name | Evolution Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 801 S Kettle St, Altoona, Pennsylvania |
| Authorized Official Name and Position | Jeffrey C Colbert (CO-OWNER) |
| Authorized Official Contact | 8142012751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Counseling Services, Llc 801 S Kettle St Altoona PA 16602-5521 Ph: (814) 201-2751 | Evolution Counseling Services, Llc 801 S Kettle St Altoona PA 16602-5521 Ph: (814) 201-2751 |
| NPI Number | 1811369655 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Medicare PECOS PAC ID | 9537580576 |
|---|---|
| Medicare Enrollment ID | O20200601000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811369655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Billie J Fletcher Haines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639136195 PECOS PAC ID: 0244335974 Enrollment ID: I20131120000185 |
| Provider Name | Jeffrey C Colbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407375751 PECOS PAC ID: 7618398660 Enrollment ID: I20200601000453 |
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