Organization
EVOLVE YOURSELF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TISHLINN S FOUNTAIN LPC (PRESIDENT)
(504) 312-9388
Entity
Organization
Contact information
Practice address
1980 POST OAK BLVD STE 100, HOUSTON, TX 77056-3838
(504) 619-8966
(504) 910-1020
Mailing address
PO BOX 2717, GRETNA, LA 70054-2717
(504) 619-8966
(504) 910-1020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/11/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up