Healthcare Provider Details

I. General information

NPI: 1689593048
Provider Name (Legal Business Name): WOVEN SAGE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10064 SOUTHERN PRIDE PL
LAKE WORTH FL
33449-8006
US

IV. Provider business mailing address

10064 SOUTHERN PRIDE PL
LAKE WORTH FL
33449-8006
US

V. Phone/Fax

Practice location:
  • Phone: 561-341-1288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MICHELE EVANS
Title or Position: FOUNDER
Credential: LMHC
Phone: 561-341-1288