Organization · NPI-2
Evolutionary Counseling, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Cypress, TX
NPI number1932804739
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1932804739
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolutionary Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Apr 1, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
20310 Monica Joyce LnCypress, TX 77433-0144
Phone 337-349-9662
Mailing address
20310 Monica Joyce LnCypress, TX 77433-0144
Phone 337-349-9662
Authorized official
Jessica Wiley Leslie
Lcsw Owner
3373499662
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