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Organization
EVOLVE THERAPY PLLC
Active
Organization
EVOLVE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE SECKER LPC (MEMBER)
(214) 797-8888
Entity
Organization
Contact information
Practice address
1103 CHERICO ST, AUSTIN, TX 78702-3705
(214) 797-8888
Mailing address
1103 CHERICO ST, AUSTIN, TX 78702-3705
(214) 797-8888
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
76347
TX
101YP2500X
Professional Counselor
Primary
76503
TX
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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