| Evolve Psychotherapy | |
|
204 Lafayette St Salem MA 01970-4721 | |
| (603) 531-3704 | |
| (978) 564-7541 |
| Full Name | Evolve Psychotherapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 204 Lafayette St, Salem, Massachusetts |
| Authorized Official Name and Position | Debra Mills (PRESIDENT) |
| Authorized Official Contact | 6035313704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Psychotherapy 204 Lafayette St Salem MA 01970-4721 Ph: (603) 531-3704 | Evolve Psychotherapy 204 Lafayette St Salem MA 01970-4721 Ph: (603) 531-3704 |
| NPI Number | 1952862971 |
|---|---|
| Provider Enumeration Date | 03/31/2019 |
| Last Update Date | 08/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952862971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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