Organization
EVOLVE THERAPUETIC BEHAVIORAL HEALTH AND WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE DOLORIS HAMILTON LCPC (EXECUTIVE DIRECTOR/OWNER)
(301) 996-1677
Entity
Organization
Contact information
Practice address
16208 PENTERRA WAY, BOWIE, MD 20716-1919
(301) 996-1677
Mailing address
16208 PENTERRA WAY, BOWIE, MD 20716-1919
(301) 996-1677
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC4137
MD
Other
Enumeration date
02/27/2012
Last updated
04/11/2024
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