Organization
EVOLUTION YOU, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEITRA HARRIS LCSW, LISW-CP (THERAPIST/OWNER)
(704) 200-7983
Entity
Organization
Contact information
Practice address
7700 ELLA JANE LN APT W, CHARLOTTE, NC 28273-4782
(704) 954-8538
Mailing address
7700 ELLA JANE LN APT W, CHARLOTTE, NC 28273-4782
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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