Organization
EVOLVE THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA PHILLIPS LCSW (EXECUTIVE DIRECTOR)
(606) 875-1774
Entity
Organization
Contact information
Practice address
401 S MAIN ST UNIT 2, SOMERSET, KY 42501-2016
(606) 451-8805
Mailing address
401 S MAIN ST UNIT 2, SOMERSET, KY 42501-2016
(606) 451-8805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
11/04/2024
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