Evolving Essence LLC
Organization Active NPI Community/Behavioral Health Agency · Preston, MO
NPI 1487426896 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1487426896
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- EVOLVING ESSENCE LLC
- Practice address
- 16223 Highway F
Preston, MO 65732-7634 - Phone
- (417) 733-1576
- NPI assigned
- Oct 30, 2023
- Organization subpart
- No
Authorized official
- Name
- Shelana Mae Carneal, LPC
- Title
- Owner
- Phone
- (417) 733-1576
Practitioners 1
-
Shelana Carneal, LPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
16223 Highway F
Preston, MO 65732-7634
Mailing address
16223 Highway F
Preston, MO 65732-7634
Phone (417) 733-1576
Other providers in Preston, MO
All providers in Preston, MO · Community/Behavioral Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.