Evolve Counseling Services, Plla

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006939 Issued in NC

Legal business name

EVOLVE COUNSELING SERVICES, PLLA

Practice address

120 Westlake Rd
Suite #3
Fayetteville, NC 28314-4451

Phone

(910) 420-4420

Fax

(910) 420-4420

NPI assigned

Apr 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Valerie Maxine Coleman, LCSW

Title

Owner/Founder

Phone

(910) 420-4420

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1235526948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WESTLAKE RD",
            "address_2": "SUITE #3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144451",
            "telephone_number": "910-420-4420",
            "fax_number": "910-420-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WESTLAKE RD",
            "address_2": "SUITE #3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144451",
            "telephone_number": "910-420-4420",
            "fax_number": "910-420-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE COUNSELING SERVICES, PLLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "910-420-4420",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonetta Everett, MSW, LCSW, LCAS
• Evergreen Behavioral Management, Inc.
• Evergreen Counseling Collective
• Evergreen Health Services, LLC
• Evolution Wellness Center, PLLC
• Evolve Therapy & Wellness, PLLC
• Katelyn Mary Evoy
• Matthew R Ewerling, PA
• Stefanie Stellfox Ewert, RN
• Angela Ewing

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.