| Evolve Therapy Llc | |
|
786 Blanding Blvd Ste 120 Orange Park FL 32065-6728 | |
| (904) 385-9240 | |
| Not Available |
| Full Name | Evolve Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 786 Blanding Blvd Ste 120, Orange Park, Florida |
| Authorized Official Name and Position | Petergay Sterling (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9043859240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Therapy Llc 786 Blanding Blvd Ste 120 Orange Park FL 32065-6728 Ph: (904) 385-9240 | Evolve Therapy Llc 786 Blanding Blvd Ste 120 Orange Park FL 32065-6728 Ph: (904) 385-9240 |
| NPI Number | 1669026324 |
|---|---|
| Provider Enumeration Date | 07/30/2019 |
| Last Update Date | 07/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669026324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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