Organization
EVOLUTION CLINICAL COUNSELING AND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA D. MILLER LCSW (CLINICIAN/OWNER)
(662) 614-4441
Entity
Organization
Contact information
Practice address
149C GREEN ST, GRENADA, MS 38901-2618
(662) 614-4441
(601) 510-7558
Mailing address
751 CHOCTAW ST, GRENADA, MS 38901-5317
(662) 614-4441
(601) 510-7558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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