| Evolve Youth & Family Counseling Llc | |
|
505 N Riverside Dr Ste 201 Gurnee IL 60031-5922 | |
| (708) 603-9499 | |
| Not Available |
| Full Name | Evolve Youth & Family Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 505 N Riverside Dr Ste 201, Gurnee, Illinois |
| Authorized Official Name and Position | Yahaira Torres (OWNER) |
| Authorized Official Contact | 7086039499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Youth & Family Counseling Llc 505 N Riverside Dr Ste 201 Gurnee IL 60031-5922 Ph: () - | Evolve Youth & Family Counseling Llc 505 N Riverside Dr Ste 201 Gurnee IL 60031-5922 Ph: (708) 603-9499 |
| NPI Number | 1114557667 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114557667 | NPI | - | NPPES |
| 1215282504 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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