Organization · Type 2 NPI
Evolo PLLC
Mental Health Counselor · Hailey, ID
NPI number
1043075302
Active
Practice location
416 S Main St Ste 102
Hailey, ID 83333-8422
Mailing address
361 Cranbrook Rd
Hailey, ID 83333-8817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Hailey
About NPI 1043075302
Evolo PLLC's National Provider Identifier is 1043075302, issued on Feb 15, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hailey, ID. The record was last updated on Feb 15, 2024.