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General NPI Number Information
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NPI Number | 1831714815
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Entity Type | Organization
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Legal Business Name | EVOLUTION MENTAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 6931 S 66TH EAST AVE STE 200
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City | TULSA
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State | OK
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Zip | 74133-1765
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Country | US
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Telephone | 918-379-4431
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Fax | 918-328-2380
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Provider Business Mailing Address
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Address Line | 6931 S 66TH EAST AVE STE 200
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City | TULSA
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State | OK
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Zip | 74133-1765
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Country | US
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Telephone | 918-379-4431
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Fax | 918-328-2380
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | STACY MCWILLIAMS
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Credential | CPC
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Telephone | 918-379-4431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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