| Evolve Behavioral Health And Wellness Llc | |
|
6033 Bushnell Dr New Kent VA 23124-3034 | |
| (518) 928-3261 | |
| Not Available |
| Full Name | Evolve Behavioral Health And Wellness Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6033 Bushnell Dr, New Kent, Virginia |
| Authorized Official Name and Position | Kerry Renee Burnett (OWNER) |
| Authorized Official Contact | 5189283261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Behavioral Health And Wellness Llc 6033 Bushnell Dr New Kent VA 23124-3034 Ph: (518) 928-3261 | Evolve Behavioral Health And Wellness Llc 6033 Bushnell Dr New Kent VA 23124-3034 Ph: (518) 928-3261 |
| NPI Number | 1245919406 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245919406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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