| Evolve Therapy Center, Llc | |
|
101 Prather Park Dr Ste D Myrtle Beach SC 29588-3701 | |
| (843) 212-7340 | |
| Not Available |
| Full Name | Evolve Therapy Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 101 Prather Park Dr Ste D, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Kimberly Dorsey (OWNER) |
| Authorized Official Contact | 8432127340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Therapy Center, Llc 40 Pine Valley Ln Myrtle Beach SC 29575-4803 Ph: (843) 450-5754 | Evolve Therapy Center, Llc 101 Prather Park Dr Ste D Myrtle Beach SC 29588-3701 Ph: (843) 212-7340 |
| NPI Number | 1629849906 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 05/25/2024 |
| Certification Date | 05/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629849906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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