Active NPIOrganization

Evolve Internal Wellness And Counseling, LLC

Social Worker, Clinical in Wellesley, Massachusetts

NPI Number1013428721
Practice location
14 Haven Road, Wellesley, MA 02481
Fax
617-706-2603
Last updated
May 14, 2024

Evolve Internal Wellness And Counseling, LLC is a healthcare organization based in Wellesley, MA. Evolve Internal Wellness And Counseling, LLC practices in Wellesley, MA. The NPI Number for Evolve Internal Wellness And Counseling, LLC is 1013428721 and holds a License No. 117142 (MA). The current practice location address for Evolve Internal Wellness And Counseling, LLC is 14 Haven Road, Wellesley, MA 02481 and can be reached out via phone at 603-455-2428 and via fax at 617-706-2603.

Provider Profile Details

NPI Number
1013428721
Provider Name
Evolve Internal Wellness And Counseling, LLC
Provider Entity Type
Organization
Address
14 Haven Road, Wellesley, MA 02481
Phone Number
603-455-2428
Fax Number
617-706-2603
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Jessica Calantha Carreiro, LICSW · Lics, Therapist And Owner Of Evolve · 603-455-2428
Provider Enumeration Date
October 20, 2017
Last Update Date
May 14, 2024
Certification Date
May 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Haven Road
Wellesley, MA 02481
Zip
02481
Phone Number
603-455-2428
Fax Number
617-706-2603
Wellesley, MA 02481Get directions →

Provider Business Mailing Address Details

Address
14 Haven Road
Wellesley, MA 02481
City
Wellesley
State
MA
Zip
02481
Phone Number
603-455-2428
Fax Number
617-706-2603

License Information

License Number
117142
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Evolve Internal Wellness And Counseling, LLC?

The NPI number of Evolve Internal Wellness And Counseling, LLC is 1013428721. It was assigned on October 20, 2017 and is currently active in the NPPES registry.

What is the specialty of Evolve Internal Wellness And Counseling, LLC?

Evolve Internal Wellness And Counseling, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 117142.

Where does Evolve Internal Wellness And Counseling, LLC practice?

The practice location is 14 Haven Road, Wellesley, MA 02481. The office can be reached at 603-455-2428 (phone) or 617-706-2603 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013428721 directly on the NPPES registry website.

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