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Organization
EVOLVE 365 LLC
Active
Organization
EVOLVE 365 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MCLEAN (CEO)
(843) 716-0009
Entity
Organization
Contact information
Practice address
4350 SPRING ST STE C, LORIS, SC 29569-2224
(843) 716-0009
(843) 716-0009
Mailing address
4350 SPRING ST STE C, LORIS, SC 29569-2224
(843) 716-0009
(843) 716-0009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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