Organization
ETP LLC
Active
Other names
Evolve Therapy Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY WILLHITE (CREDENTIALING)
(319) 777-9536
Entity
Organization
Contact information
Practice address
3053 CENTER POINT RD NE STE B, CEDAR RAPIDS, IA 52402-4049
(319) 777-9536
Mailing address
3053 CENTER POINT RD NE STE B, CEDAR RAPIDS, IA 52402-4049
(319) 777-9536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
06/19/2025
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