# EVOLVE BEHAVIOR THERAPY LLC

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

## Provider details

- **NPI number:** 1508673658
- **Authorized official:** LAURA V MCRAE (CEO)
- **Authorized official phone:** (910) 995-6817

## Contact information

- **Practice address:** 6829 ROBERTA RD SW, OCEAN ISLE BEACH, NC 28469-5761
- **Practice address phone:** (910) 995-6817
- **Mailing address:** 6829 ROBERTA RD SW, OCEAN ISLE BEACH, NC 28469-5761
- **Mailing address phone:** (910) 995-6817

## Taxonomy

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

## Other

- **Enumeration date:** 12/12/2024
- **Last updated:** 12/12/2024