Organization · Type 2 NPI

Life Evolution Mental Health Counseling, PLLC

Mental Health Counselor · Malta, NY

NPI number 1750286548 Active

Practice location

1139 Laural Ln
Malta, NY 12020-4399

Mailing address

7 Kendall Way Ste 230
Malta, NY 12020-4399

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1750286548

Life Evolution Mental Health Counseling, PLLC's National Provider Identifier is 1750286548, issued on Oct 12, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Malta, NY. The record was last updated on Oct 12, 2026.