Organization
EVOKE CHANGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN BASS PATRICK LCPC (OWNER)
(406) 823-0231
Entity
Organization
Contact information
Practice address
753 MIGRATION RD, SOMERS, MT 59932-5993
(406) 823-0231
Mailing address
PO BOX 1371, KALISPELL, MT 59903-1371
(406) 823-0231
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523464
—
MT
Enumeration date
02/03/2022
Last updated
02/03/2022
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