<Unavail>

LBN: Theresa Evans Lmsw Caadc Llc
<Unavail> is an health care organization with primary practice located at 3130 Logan Valley Rd , Traverse City MI 49684-4772. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Theresa Evans Lmsw Caadc Llc can be contacted via phone (231) 409-8622, or through Evans, Theresa A via phone (231) 409-8622.

Contact Information

Primary practice address
3130 Logan Valley Rd Traverse City MI 49684-4772
Phone: (231) 409-8622
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Theresa A
Phone: (231) 409-8622

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1982194163
LBN Legal business name Theresa Evans Lmsw Caadc Llc
DBA Doing business as <Unavail>
Authorized official Evans, Theresa A
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2018
Last updated Feb 9th, 2026 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982194163 NPPES
Michigan MEDICAID 1972659845

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