| Evolve Etherapy Pllc | |
|
712 H St Ne Ste 2884 Washington DC 20002-3627 | |
| (615) 635-8090 | |
| Not Available |
| Full Name | Evolve Etherapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 712 H St Ne Ste 2884, Washington, District Of Columbia |
| Authorized Official Name and Position | Montrell Pryor (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 6156358090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Etherapy Pllc 2700 R St Se Washington, Dc DC 20020 Ph: (615) 635-8090 | Evolve Etherapy Pllc 712 H St Ne Ste 2884 Washington DC 20002-3627 Ph: (615) 635-8090 |
| NPI Number | 1902663941 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902663941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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