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Organization
LIFE EVOLUTION MENTAL HEALTH COUNSELING, PLLC
Active
Organization
LIFE EVOLUTION MENTAL HEALTH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MYERS LMHC, CASAC (OWNER)
(518) 309-2299
Entity
Organization
Contact information
Practice address
1139 LAURAL LN, MALTA, NY 12020-4399
(518) 309-2299
Mailing address
7 KENDALL WAY STE 230, MALTA, NY 12020-4399
(518) 309-2299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
NULL
Other
Enumeration date
10/12/2026
Last updated
10/12/2026
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