Organization · Type 2 NPI
Evolve 365 LLC
Mental Health Counselor · Loris, SC
NPI number
1962322917
Active
Practice location
4350 Spring St Ste C
Loris, SC 29569-2224
Fax (843) 716-0009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Adult Development & Aging Psychologist | 103TA0700X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Community Health Worker | 172V00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Early Intervention Provider Agency | 252Y00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Loris
About NPI 1962322917
Evolve 365 LLC's National Provider Identifier is 1962322917, issued on Jul 20, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Loris, SC. The record was last updated on Jul 20, 2026.