Organization
EVOLVE YOUTH & FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAHAIRA TORRES LCSW (OWNER)
(708) 603-9499
Entity
Organization
Contact information
Practice address
505 N RIVERSIDE DR STE 201, GURNEE, IL 60031-5922
(708) 603-9499
Mailing address
505 N RIVERSIDE DR STE 201, GURNEE, IL 60031-5922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215282504
—
IL
Enumeration date
01/23/2020
Last updated
05/10/2023
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