Organization
EVOLVE THERAPEUTIC WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ROBIN CASEY LPC-S (OWNER)
(806) 252-3421
Entity
Organization
Contact information
Practice address
3330 70TH ST STE 115, LUBBOCK, TX 79413-6136
(806) 252-3421
Mailing address
3330 70TH ST STE 115, LUBBOCK, TX 79413-6136
(806) 252-3421
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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