Organization
EVOLVE ETHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTRELL PRYOR LCSW (CHIEF CLINICAL OFFICER)
(615) 635-8090
Entity
Organization
Contact information
Practice address
712 H ST NE STE 2884, WASHINGTON, DC 20002-3627
(615) 635-8090
Mailing address
2700 R ST SE, WASHINGTON, DC, DC 20020
(615) 635-8090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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