| Evolution Wellness | |
|
2301 Delaney Ave Wilmington NC 28403-6012 | |
| (910) 202-4326 | |
| (910) 679-6347 |
| Full Name | Evolution Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2301 Delaney Ave, Wilmington, North Carolina |
| Authorized Official Name and Position | Kayla Reilly (OWNER) |
| Authorized Official Contact | 9104098958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Wellness 2301 Delaney Ave Wilmington NC 28403-6012 Ph: (910) 202-4326 | Evolution Wellness 2301 Delaney Ave Wilmington NC 28403-6012 Ph: (910) 202-4326 |
| NPI Number | 1023557154 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023557154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C010221 (North Carolina) | Primary |
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