| Evolve Mental Health & Wellness Solutions | |
|
63220 Silvis Rd Bend OR 97701-9743 | |
| (541) 280-4100 | |
| Not Available |
| Full Name | Evolve Mental Health & Wellness Solutions |
|---|---|
| Speciality | Counselor - Professional |
| Location | 63220 Silvis Rd, Bend, Oregon |
| Authorized Official Name and Position | Deanna Mozo (PROVIDER/OWNER) |
| Authorized Official Contact | 9079475514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Mental Health & Wellness Solutions 17155 Avocet Dr Bend OR 97707-2399 Ph: (907) 947-5514 | Evolve Mental Health & Wellness Solutions 63220 Silvis Rd Bend OR 97701-9743 Ph: (541) 280-4100 |
| NPI Number | 1164187696 |
|---|---|
| Provider Enumeration Date | 10/31/2021 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164187696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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