Evolve Therapeutic Center

Professional Counselor · Minooka, IL

Organization Active NPI

NPI number 1508315920

Practice location

304 W Mondamin St
Suite 104
Minooka, IL 60447-9096
Phone
(815) 685-7601

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NPI record

NPI
1508315920
Entity type
Organization (Type 2)
Enumeration date
September 27, 2016
Last updated
September 27, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 180.008724 IL

Mailing address

PO Box 608
Minooka, IL 60447-0608
Phone
(815) 685-7601

Authorized official

Name
Angela Decraene
Title
Owner
Phone
(815) 685-7601

About Evolve Therapeutic Center

Evolve Therapeutic Center is a healthcare organization registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 304 W Mondamin St, Suite 104, Minooka, IL 60447-9096. The NPI number 1508315920 was assigned on September 27, 2016 and the record was last updated on September 27, 2016.

Evolve Therapeutic Center lists a license in the registry: #180.008724 (IL) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Angela Decraene, Owner.

Frequently asked questions

What is the NPI number of Evolve Therapeutic Center?

The NPI number is 1508315920.

What is the phone number of Evolve Therapeutic Center?

The phone number listed for the practice location is (815) 685-7601.

Where is Evolve Therapeutic Center located?

304 W Mondamin St, Suite 104, Minooka, IL 60447-9096.

What is the taxonomy code for Evolve Therapeutic Center?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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