Evolve Family Therapy

LBN: Evolve Family Therapy
Evolve Family Therapy is an health care organization with primary practice located at 285 Robin Glen Ln , South Elgin IL 60177-2210. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as the primary health care specialty. Evolve Family Therapy can be contacted via phone (845) 857-7840, or through Mcdaniel, Bonnie via phone (847) 857-7840.

Contact Information

Primary practice address
285 Robin Glen Ln South Elgin IL 60177-2210
Phone: (845) 857-7840
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcdaniel, Bonnie
Phone: (847) 857-7840

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1245997832
LBN Legal business name Evolve Family Therapy
DBA Doing business as
Authorized official Mcdaniel, Bonnie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2021
Last updated Nov 18th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245997832 NPPES
Illinois MEDICAID 1437614666

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