| Evolve Psychotherapy Services Llc | |
|
2030 Packard St Ste B Ann Arbor MI 48104-4785 | |
| (708) 663-6279 | |
| Not Available |
| Full Name | Evolve Psychotherapy Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2030 Packard St Ste B, Ann Arbor, Michigan |
| Authorized Official Name and Position | Julie Laforest (AGENT) |
| Authorized Official Contact | 3136334358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Psychotherapy Services Llc 2030 Packard St Ste B Ann Arbor MI 48104-4785 Ph: (708) 663-6279 | Evolve Psychotherapy Services Llc 2030 Packard St Ste B Ann Arbor MI 48104-4785 Ph: (708) 663-6279 |
| NPI Number | 1205358512 |
|---|---|
| Provider Enumeration Date | 07/10/2017 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 9638437981 |
|---|---|
| Medicare Enrollment ID | O20171214003133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205358512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6801093987 (Michigan) | Primary |
| Provider Name | Lily S Gershenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033421318 PECOS PAC ID: 3971862566 Enrollment ID: I20180123001369 |
Mary K Anderson Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N 1st St, Ste 1, Ann Arbor, MI 48104 Phone: 734-327-5934 | |
Jennifer Ratliff-moss Lmsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105 Phone: 734-905-6649 Fax: 734-369-3369 | |
Mcevilly Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St # St360, Ann Arbor, MI 48104 Phone: 248-736-7251 | |
Andrea Dewey Lmsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St Ste 330, Ann Arbor, MI 48104 Phone: 734-255-2990 | |
Enlightened Serenity Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 W Stadium Blvd # 3459, Ann Arbor, MI 48103 Phone: 734-352-7398 | |
Lauren V. Kachorek, Ph.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 Suffolk St, Ann Arbor, MI 48103 Phone: 248-867-4550 | |
Rachel Sienko Lp Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 E Stadium Blvd Ste 212-3, Ann Arbor, MI 48104 Phone: 810-279-0149 |