Organization
COUNSELING EVOLVED, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN DALE BELLOWS II LPC, CRC (COUNSELOR)
(469) 991-5655
Entity
Organization
Contact information
Practice address
3256 SOUTHERN DR STE 461, GARLAND, TX 75043-1533
(469) 991-5655
Mailing address
8117 SPINNAKER CV, ROWLETT, TX 75089-2525
(469) 991-5655
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/16/2019
Last updated
04/02/2020
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