# EVOLUTION CLINICAL COUNSELING AND SERVICES

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

## Provider details

- **NPI number:** 1730043423
- **Authorized official:** MRS. ANGELA D. MILLER LCSW (CLINICIAN/OWNER)
- **Authorized official phone:** (662) 614-4441

## Contact information

- **Practice address:** 149C GREEN ST, GRENADA, MS 38901-2618
- **Practice address phone:** (662) 614-4441
- **Practice address fax:** (601) 510-7558
- **Mailing address:** 751 CHOCTAW ST, GRENADA, MS 38901-5317
- **Mailing address phone:** (662) 614-4441
- **Mailing address fax:** (601) 510-7558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2025
- **Last updated:** 12/16/2025