| Evolve Therapy And Wellness | |
|
12 1st Ave W Williston ND 58801-6048 | |
| (701) 609-5376 | |
| (866) 635-1623 |
| Full Name | Evolve Therapy And Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12 1st Ave W, Williston, North Dakota |
| Authorized Official Name and Position | Staci Ekblad (OWNER) |
| Authorized Official Contact | 7018663380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Therapy And Wellness 12 1st Ave W Williston ND 58801-6048 Ph: (701) 609-5376 | Evolve Therapy And Wellness 12 1st Ave W Williston ND 58801-6048 Ph: (701) 609-5376 |
| NPI Number | 1801645866 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801645866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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