Organization
EVOLVE BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA V MCRAE (CEO)
(910) 995-6817
Entity
Organization
Contact information
Practice address
6829 ROBERTA RD SW, OCEAN ISLE BEACH, NC 28469-5761
(910) 995-6817
Mailing address
6829 ROBERTA RD SW, OCEAN ISLE BEACH, NC 28469-5761
(910) 995-6817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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