# EVOLVE COUNSELING & NEUROFEEDBACK CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295506327
- **Authorized official:** DARNEL SCOTT LMFT (OWNER)
- **Authorized official phone:** (541) 500-8655

## Contact information

- **Practice address:** 225 NE C ST, GRANTS PASS, OR 97526-2175
- **Practice address phone:** (541) 500-8655
- **Practice address fax:** (800) 433-1396
- **Mailing address:** PO BOX 1787, MEDFORD, OR 97501-0261
- **Mailing address phone:** (541) 500-8655
- **Mailing address fax:** (800) 433-1396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2024
- **Last updated:** 01/29/2025