Provider Demographics
NPI:1760248520
Name:EVOLVE PSYCHOTHERAPY AND CONSULTING, INC.
Entity Type:Organization
Organization Name:EVOLVE PSYCHOTHERAPY AND CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:707-548-1624
Mailing Address - Street 1:4120 B ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-2121
Mailing Address - Country:US
Mailing Address - Phone:707-548-1624
Mailing Address - Fax:
Practice Address - Street 1:4120 B ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-2121
Practice Address - Country:US
Practice Address - Phone:707-548-1624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty