Provider Demographics
NPI:1083315527
Name:EVOLVE PSYCHOTHERAPY AND WELLNESS, PLLC
Entity type:Organization
Organization Name:EVOLVE PSYCHOTHERAPY AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-864-0988
Mailing Address - Street 1:7524 SILVER VIEW LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1071
Mailing Address - Country:US
Mailing Address - Phone:919-864-0988
Mailing Address - Fax:919-516-0239
Practice Address - Street 1:7524 SILVER VIEW LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-1071
Practice Address - Country:US
Practice Address - Phone:919-864-0988
Practice Address - Fax:919-516-0239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty