Organization
EVOLVE BEHAVIORAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY RENEE BURNETT MSED, BCBA, LBA (OWNER)
(518) 928-3261
Entity
Organization
Contact information
Practice address
6033 BUSHNELL DR, NEW KENT, VA 23124-3034
(518) 928-3261
Mailing address
6033 BUSHNELL DR, NEW KENT, VA 23124-3034
(518) 928-3261
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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