Provider Demographics
NPI:1134876519
Name:WEVOLVE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:WEVOLVE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:THEESFELD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-PIP, LAC, QMHP
Authorized Official - Phone:605-212-2335
Mailing Address - Street 1:5000 S MINNESOTA AVE STE 315
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2700
Mailing Address - Country:US
Mailing Address - Phone:605-212-2335
Mailing Address - Fax:605-653-1645
Practice Address - Street 1:5000 S MINNESOTA AVE STE 315
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2700
Practice Address - Country:US
Practice Address - Phone:605-212-2335
Practice Address - Fax:605-653-1645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty