| Evolve Therapy Llc | |
|
7905 W 159th St Ste C Tinley Park IL 60477-1345 | |
| (705) 580-7601 | |
| (708) 580-7602 |
| Full Name | Evolve Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7905 W 159th St Ste C, Tinley Park, Illinois |
| Authorized Official Name and Position | Loi Logan (OWNER) |
| Authorized Official Contact | 7085807601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Therapy Llc 7905 W 159th St Ste C Tinley Park IL 60477-1345 Ph: (705) 580-7601 | Evolve Therapy Llc 7905 W 159th St Ste C Tinley Park IL 60477-1345 Ph: (705) 580-7601 |
| NPI Number | 1558173997 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558173997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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