| Evolving Lives, Inc. | |
|
58563 Navarra Dr South Lyon MI 48178-7125 | |
| (248) 880-2554 | |
| Not Available |
| Full Name | Evolving Lives, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 58563 Navarra Dr, South Lyon, Michigan |
| Authorized Official Name and Position | Matthew Charles Swartz (PRESIDENT) |
| Authorized Official Contact | 2488802554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Lives, Inc. 58563 Navarra Dr South Lyon MI 48178-7125 Ph: (248) 880-2554 | Evolving Lives, Inc. 58563 Navarra Dr South Lyon MI 48178-7125 Ph: (248) 880-2554 |
| NPI Number | 1508566407 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508566407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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