Evolve Individual Services, LLC
NPI #1184264632 in Coatesville, Pennsylvania
Provider Information
- NPI Number
- 1184264632
- Entity Type
- Organization
- Organization Name
- Evolve Individual Services, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 13, 2020
- Last Updated
- Apr 26, 2023
Practice Location
- Address
- 139 E CHESTNUT ST STE 204
- City
- Coatesville
- State
- Pennsylvania
- ZIP Code
- 19320-3422
- Phone
- (202) 770-6042
Authorized Official
- Name
- KIERAAH MARLOW, MSW
- Title
- CO-OWNER
- Phone
- (202) 770-6042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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