| Evolve Counseling And Consultation, Pllc | |
|
2323 S Shepherd Dr Suite 1012 Houston TX 77019-7019 | |
| (713) 562-3709 | |
| (713) 520-1415 |
| Full Name | Evolve Counseling And Consultation, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2323 S Shepherd Dr, Houston, Texas |
| Authorized Official Name and Position | Shannon Tantillo (LCSW, LCDC) |
| Authorized Official Contact | 7135623709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Counseling And Consultation, Pllc 2323 S Shepherd Dr Suite 1012 Houston TX 77019-7019 Ph: (713) 562-3709 | Evolve Counseling And Consultation, Pllc 2323 S Shepherd Dr Suite 1012 Houston TX 77019-7019 Ph: (713) 562-3709 |
| NPI Number | 1013046853 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013046853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8011 (Texas) | Primary |
| 1041C0700X | Social Worker - Clinical | 36057 (Texas) | Primary |
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