| Evolve Internal Wellness And Counseling, Llc | |
|
14 Haven Road Wellesley MA 02481 | |
| (603) 455-2428 | |
| (617) 706-2603 |
| Full Name | Evolve Internal Wellness And Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14 Haven Road, Wellesley, Massachusetts |
| Authorized Official Name and Position | Jessica Calantha Carreiro (LICS, THERAPIST AND OWNER OF EVOLVE) |
| Authorized Official Contact | 6034552428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Internal Wellness And Counseling, Llc 14 Haven Road Wellesley MA 02481 Ph: (603) 455-2428 | Evolve Internal Wellness And Counseling, Llc 14 Haven Road Wellesley MA 02481 Ph: (603) 455-2428 |
| NPI Number | 1013428721 |
|---|---|
| Provider Enumeration Date | 10/20/2017 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013428721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 117142 (Massachusetts) | Primary |
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