Organization
EVOLVE HOLISTIC THERAPY LLC
Active
Other names
Evolve Holistic Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN PFEIFER-ANDRIN LCSW (OWNER/PSYCHOTHERAPIST)
(860) 464-4600
Entity
Organization
Contact information
Practice address
352 MAIN ST, DURHAM, CT 06422-1645
(860) 464-4600
(860) 464-4648
Mailing address
91 MADISON SPRINGS DR, MADISON, CT 06443-2419
(860) 464-4600
(860) 464-4648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225401801000123
—
CT
Enumeration date
08/14/2019
Last updated
09/25/2019
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