EVOLVE COUNSELING & WELLNESS LLC (NPI# 1811476153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811476153 |
| Entity Type | Organization |
| Organization Name | EVOLVE COUNSELING & WELLNESS LLC |
| Practice Address |
800 W Cummings Park Ste 5400 Woburn MA 01801-6385 |
| Mailing Address |
246 Walnut St Ste 104 Newton MA 02460-1639 |
| Practice Telephone | 7812812348 |
| Practice Fax Number | 7812812643 |
| Mailing Telephone | 6172443322 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | MS. DEBORAH RANCOURT (OWNER, LMHC, LADC) |
| Authorized Official Telephone | 7812812348 |
| Authorized Official Credential | LMHC, LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6452 | MA | Behavioral Health & Social Service Providers |
| Street Address |
800 W CUMMINGS PARK STE 5400 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-6385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1609285998 | Caroline Rossi | Counselor | 9 Forbes Rd, Woburn, MA 01801-2103 | 2014-08-12 |
| 1487710547 | Dean Crowley | Counselor | 33 Buckman St, Woburn, MA 01801-5558 | 2006-12-30 |
| 1518069814 | Kathleen Kennedy Montgomery | Counselor | 400 West Cummings Pk, Suite 3300, Woburn, MA 01801 | 2006-09-05 |
| 1346851532 | Nicholas Acquadro | Counselor | 9 Forbes Rd, Woburn, MA 01801-2103 | 2020-08-12 |
| 1255898060 | Miriane Rene | Counselor | 9 Forbes Rd, Woburn, MA 01801-2103 | 2019-02-28 |
| 1205346301 | Barbara Rielly-hubbard | Counselor | 9 Forbes Rd, Woburn, MA 01801-2103 | 2017-10-04 |
| 1659757953 | Dennis Ebacher | Counselor | 9 Forbes Rd, Woburn, MA 01801-2103 | 2015-08-10 |
| 1952726762 | Ashley M Capdeville | Counselor | 20 Tower Office Park, Woburn, MA 01801-2113 | 2014-03-03 |
| 1295163822 | Erik Abel | Counselor | 20 Tower Office Park, Woburn, MA 01801-2113 | 2013-10-16 |
| Find all providers in WOBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.