Organization
EVOLUTION FAMILY COUNSELING AND ASSESSMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE TANJA TOADVINE LCSW (OWNER)
(859) 435-6375
Entity
Organization
Contact information
Practice address
530 MAIN ST STE C, PARIS, KY 40361-1855
(859) 435-6375
Mailing address
530 MAIN ST STE C, PARIS, KY 40361-1855
(859) 435-6375
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100735480
—
KY
Enumeration date
05/05/2021
Last updated
05/05/2021
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