OrganizationActive
Evolve Therapeutic Center
NPI 1508315920 · Professional Counselor · Minooka, IL
Provider details
- NPI number
- 1508315920
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Angela Decraene, Owner(815) 685-7601
- License
- 180.008724 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
304 W Mondamin St
Suite 104
Minooka, IL 60447-9096
Phone: (815) 685-7601
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 608
Minooka, IL 60447-0608
Registry dates
- Enumerated
- 2016-09-27
- Last updated
- 2016-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.