Evans, Raven

Evans, Raven is an individual health care provider with primary practice located at 3675 Crestwood Pkwy Nw Ste 400 , Duluth GA 30096-5054. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Evans, Raven can be contacted via phone (352) 434-9707.

Contact Information

Primary practice address
3675 Crestwood Pkwy Nw Ste 400 Duluth GA 30096-5054
Phone: (352) 434-9707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY004435
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY004435 Georgia

Profile Details

NPI number 1588261945
LBN Legal business name Evans, Raven
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2020
Last updated Jul 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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