Organization · Type 2 NPI
Evolve Therapy Center, LLC
Mental Health Counselor · Myrtle Beach, SC
NPI number
1629849906
Active
Practice location
101 Prather Park Dr Ste D
Myrtle Beach, SC 29588-3701
Mailing address
40 Pine Valley Ln
Myrtle Beach, SC 29575-4803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1629849906
Evolve Therapy Center, LLC's National Provider Identifier is 1629849906, issued on Jan 15, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Myrtle Beach, SC. The record was last updated on May 25, 2024.