institution
Evolo Pllc
Adult Mental Health Clinic/Center in Hailey, Idaho
NPI 1043075302

Evolo Pllc is an Adult Mental Health Clinic/Center based in Hailey, ID and is specialized in Adult Mental Health. Evolo Pllc practices in Hailey, ID. The NPI Number for Evolo Pllc is 1043075302 and holds a License No. (Idaho).

The current practice location address for Evolo Pllc is 416 S Main St Ste 102, Hailey, ID and can be reached out via phone at 208-727-7360.

Location: 416 S Main St Ste 102, Hailey, ID, 83333-8817
institution
Provider Profile Details
NPI Number
1043075302
Provider Name
Evolo Pllc
Credential
Provider Entity Type
Organization
Address
416 S Main St Ste 102, Hailey, ID, 83333-8817
Phone Number
208-727-7360
Fax Number
Provider Enumeration Date
02/15/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
416 S Main St Ste 102
City
State
Zip
83333-8422
Phone Number
208-727-7360
Fax Number
person
Provider Business Mailing Address Details
Address
416 S Main St Ste 102
City
State
Zip
83333-8422
Phone Number
208-727-7360
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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