Healthcare Provider Details

I. General information

NPI: 1487583225
Provider Name (Legal Business Name): EVANS COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 W CENTER ST STE 210
POCATELLO ID
83204-3236
US

IV. Provider business mailing address

357 W CENTER ST STE 210
POCATELLO ID
83204-3236
US

V. Phone/Fax

Practice location:
  • Phone: 208-757-7718
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CODY EVANS
Title or Position: PRESIDENT
Credential: LCPC
Phone: 208-757-7718