Organization
EVOLVE EMPOWER COUNSELING
Active
Other names
Evolve Empower Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA PORTER MS (LICENSED PROFESSIONAL COUNSELOR)
(337) 298-8605
Entity
Organization
Contact information
Practice address
108 EXCHANGE PL STE 290, LAFAYETTE, LA 70503-2558
(337) 901-2513
(337) 777-1577
Mailing address
108 EXCHANGE PL STE 290, LAFAYETTE, LA 70503-2558
(337) 901-2513
(337) 777-1577
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3338106
—
LA
Enumeration date
12/28/2023
Last updated
12/28/2023
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