| Evolve Counseling, Lcsw, Pllc | |
|
2316 Genesee St Utica NY 13502-5810 | |
| (607) 201-5269 | |
| Not Available |
| Full Name | Evolve Counseling, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2316 Genesee St, Utica, New York |
| Authorized Official Name and Position | Mackenzie Heinrich (OWNER/THERAPIST) |
| Authorized Official Contact | 6072015269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Counseling, Lcsw, Pllc 2316 Genesee St Utica NY 13502-5810 Ph: (607) 201-5269 | Evolve Counseling, Lcsw, Pllc 2316 Genesee St Utica NY 13502-5810 Ph: (607) 201-5269 |
| NPI Number | 1164259685 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164259685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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