Organization
FAITH2EVOLVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LEE LCSW, LCAS (OWNER/PROVIDER)
(252) 258-1768
Entity
Organization
Contact information
Practice address
4536 EADS PL NE, WASHINGTON, DC 20019-4763
(252) 258-1768
Mailing address
4536 EADS PL NE, WASHINGTON, DC 20019-4763
(252) 258-1768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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