Organization
EVOLATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLEY MICHELLE ELAM LPC (PROVIDER)
(918) 500-7629
Entity
Organization
Contact information
Practice address
5634 E 78TH PL, TULSA, OK 74136-8413
(918) 500-7629
Mailing address
5634 E 78TH PL, TULSA, OK 74136-8413
(918) 500-7629
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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