Organization
EVOLVE THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DORSEY MA LPC (OWNER)
(843) 212-7340
Entity
Organization
Contact information
Practice address
101 PRATHER PARK DR STE D, MYRTLE BEACH, SC 29588-3701
(843) 212-7340
Mailing address
40 PINE VALLEY LN, MYRTLE BEACH, SC 29575-4803
(843) 450-5754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
05/25/2024
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