| Evolve Counseling Collective Llc | |
|
1624 Bonforte Blvd Ste D Pueblo CO 81001-1680 | |
| (719) 671-2546 | |
| Not Available |
| Full Name | Evolve Counseling Collective Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1624 Bonforte Blvd Ste D, Pueblo, Colorado |
| Authorized Official Name and Position | Christy Turner (OWNER) |
| Authorized Official Contact | 7196712546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Counseling Collective Llc 1147 Longwood Ave Pueblo CO 81004-1040 Ph: (719) 671-2546 | Evolve Counseling Collective Llc 1624 Bonforte Blvd Ste D Pueblo CO 81001-1680 Ph: (719) 671-2546 |
| NPI Number | 1962221887 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 2264964832 |
|---|---|
| Medicare Enrollment ID | O20241021002908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962221887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christy Rene Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245061639 PECOS PAC ID: 3173055746 Enrollment ID: I20241021002994 |
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