| Evolve Collaborative Pllc | |
|
4824 Water Oak Rd Apt 10 Charlotte NC 28211-2451 | |
| (704) 272-3905 | |
| Not Available |
| Full Name | Evolve Collaborative Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4824 Water Oak Rd Apt 10, Charlotte, North Carolina |
| Authorized Official Name and Position | Kayla Reeve (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 7042723905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Collaborative Pllc 1235 East Blvd Ste E Charlotte NC 28203-5876 Ph: (704) 272-3905 | Evolve Collaborative Pllc 4824 Water Oak Rd Apt 10 Charlotte NC 28211-2451 Ph: (704) 272-3905 |
| NPI Number | 1255152609 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255152609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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