| Evolve Mental Health Services Inc | |
|
675 Wyoming Ave Ste D Kingston PA 18704-3831 | |
| (570) 288-4205 | |
| (570) 288-4889 |
| Full Name | Evolve Mental Health Services Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 675 Wyoming Ave Ste D, Kingston, Pennsylvania |
| Authorized Official Name and Position | Alexander Mertz (OPERATOR) |
| Authorized Official Contact | 5702884205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Mental Health Services Inc 675 Wyoming Ave Ste D Kingston PA 18704-3831 Ph: (570) 288-4205 | Evolve Mental Health Services Inc 675 Wyoming Ave Ste D Kingston PA 18704-3831 Ph: (570) 288-4205 |
| NPI Number | 1598480469 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598480469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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