| Evolve Counseling Pllc | |
|
725 Nw 17th St Oklahoma City OK 73103-2117 | |
| (405) 474-8020 | |
| Not Available |
| Full Name | Evolve Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 725 Nw 17th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Robbie Lyn Tatom (OWNER) |
| Authorized Official Contact | 4054748020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Counseling Pllc 3012 Se 96th St Oklahoma City OK 73160-9231 Ph: (405) 474-8020 | Evolve Counseling Pllc 725 Nw 17th St Oklahoma City OK 73103-2117 Ph: (405) 474-8020 |
| NPI Number | 1316373236 |
|---|---|
| Provider Enumeration Date | 09/24/2013 |
| Last Update Date | 09/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316373236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4387 (Oklahoma) | Primary |
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