Provider Demographics
NPI:1467236091
Name:EVOLVE MARRIAGE & FAMILY THERAPY LLC
Entity Type:Organization
Organization Name:EVOLVE MARRIAGE & FAMILY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:205-447-2220
Mailing Address - Street 1:215 RICHARD ARRINGTON JR BLVD N STE 407
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-3723
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:215 RICHARD ARRINGTON JR BLVD N STE 407
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-3723
Practice Address - Country:US
Practice Address - Phone:205-447-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty