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Contact Information

EVOLVE FAMILY THERAPY LLC
333 N RANDALL RD # 105-B
SAINT CHARLES, IL60174-1573
 Phone: 845-857-7840
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EVOLVE FAMILY THERAPY LLC

NPI Number 1245997832
LBN Legal business name EVOLVE FAMILY THERAPY LLC
Authorized official BONNIE MCDANIEL - (OWNER/THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/18/2021
Last updated 12/09/2025 - About 6 months ago
Identifiers
IL Medicaid 1437614666
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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