Evolve Collaborative PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Charlotte, NC. Organization (NPI-2).
NPI number1255152609
StatusActive
Last updated in NPPESOct 18, 2024
Details
- NPI
- 1255152609
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolve Collaborative PLLC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2024
- Certification date
- Oct 18, 2024
- Last updated
- Oct 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
4824 Water Oak Rd Apt 10Charlotte, NC 28211-2451
Phone 704-272-3905
Mailing address
1235 East Blvd Ste ECharlotte, NC 28203-5876
Phone 704-272-3905
Authorized official
Kayla Reeve
Owner/Clinical Therapist
7042723905
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