MEDICARE: EVOLVING YOU FAMILY THERAPY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1083405385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVOLVING YOU FAMILY THERAPY INC.

Provider Business Mailing Address
First Line	:	1187 N WILLOW AVE
Second Line	:	SUITE 103, #47
City	:	CLOVIS
State	:	CA
Zip	:	93611
Country	:	US
Telephone Number	:	559-493-1728
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 E EL PASO AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-6409
Country	:	US
Telephone Number	:	559-493-1728
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSE NAVARRO
Credential	:
Telephone Number	:	559-493-1728

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	08/19/2025

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