Evolution of Self
NPI #1255120978 in Greensboro, North Carolina
Provider Information
- NPI Number
- 1255120978
- Entity Type
- Organization
- Organization Name
- Evolution of Self
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 1, 2025
- Last Updated
- Nov 19, 2025
Practice Location
- Address
- 701 GREEN VALLEY RD STE 100
- Address 2
- ROOM 330
- City
- Greensboro
- State
- North Carolina
- ZIP Code
- 27408-7096
- Phone
- (336) 618-7697
Authorized Official
- Name
- DOMINIQUE SHAMBERGER
- Title
- OWNER
- Phone
- (336) 618-7697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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