Organization
EVOLVE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBBIE LYN TATOM LCSW (OWNER)
(405) 474-8020
Entity
Organization
Contact information
Practice address
725 NW 17TH ST, OKLAHOMA CITY, OK 73103-2117
(405) 474-8020
Mailing address
3012 SE 96TH ST, OKLAHOMA CITY, OK 73160-9231
(405) 474-8020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4387
OK
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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