Organization
EVOLUTION WELLNESS CENTER, PLLC
Active
Organization
EVOLUTION WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE SINCLAIR LCMHCS (OWNER/THERAPIST)
(910) 273-8054
Entity
Organization
Contact information
Practice address
5717 MCDOUGAL DR, FAYETTEVILLE, NC 28304-2992
(910) 273-8054
(910) 401-1017
Mailing address
5717 MCDOUGAL DR, FAYETTEVILLE, NC 28304-2992
(910) 273-8054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
225700000X
Massage Therapist
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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