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Organization
EVOLVING LIVES LLC
Active
Organization
EVOLVING LIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIA WHITLOW LCSW (OWNER)
(270) 495-1222
Entity
Organization
Contact information
Practice address
1990 LOUISVILLE RD STE 107, BOWLING GREEN, KY 42101-1202
(270) 495-1222
(859) 209-6504
Mailing address
1990 LOUISVILLE RD STE 107, BOWLING GREEN, KY 42101-1202
(270) 495-1222
(859) 209-6504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
08/11/2023
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