Organization
EVOLVING ESSENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELANA MAE CARNEAL LPC (OWNER)
(417) 733-1576
Entity
Organization
Contact information
Practice address
16223 HIGHWAY F, PRESTON, MO 65732-7634
(417) 733-1576
Mailing address
16223 HIGHWAY F, PRESTON, MO 65732-7634
(417) 733-1576
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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