Organization
EVO COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LYNN PODOLAK LCSW (OWNER, THERAPIST)
(608) 501-3361
Entity
Organization
Contact information
Practice address
715 HILL ST STE 270, MADISON, WI 53705-3572
(608) 501-3361
Mailing address
715 HILL ST STE 270, MADISON, WI 53705-3572
(608) 501-3361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E063264
—
WI
Enumeration date
03/01/2024
Last updated
04/24/2024
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