| Evolve Pro Therapeutic Services | |
|
150 S Warner Rd Ste 130 King Of Prussia PA 19406-2826 | |
| (215) 995-4075 | |
| (484) 631-0894 |
| Full Name | Evolve Pro Therapeutic Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 150 S Warner Rd Ste 130, King Of Prussia, Pennsylvania |
| Authorized Official Name and Position | Andrea Smith-thompson (OWNER) |
| Authorized Official Contact | 2159954075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Pro Therapeutic Services 213 E Moreland Rd Willow Grove PA 19090-3524 Ph: () - | Evolve Pro Therapeutic Services 150 S Warner Rd Ste 130 King Of Prussia PA 19406-2826 Ph: (215) 995-4075 |
| NPI Number | 1700595154 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700595154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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