# EVOLUTION COUNSELING AND WELLNESS SERVICES

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

## Provider details

- **NPI number:** 1306461983
- **Authorized official:** ANNETTA L WARREN MS, LPC, LCDC (THERAPIST/CLINICAL MENTAL HEALTH)
- **Authorized official phone:** (254) 291-5058

## Contact information

- **Practice address:** 9901 BRODIE LN STE 160-966, AUSTIN, TX 78748-5803
- **Practice address phone:** (512) 995-9995
- **Mailing address:** 9901 BRODIE LN STE 160-966, AUSTIN, TX 78748-5803
- **Mailing address phone:** (254) 291-5058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2020
- **Last updated:** 07/30/2020