National Provider Identifier
Evolution Mental Health Counseling PLLC
Evolution Mental Health Counseling PLLC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Johnson City, NY and a listed phone number of (607) 217-4170.
Source: public NPPES record, last updated May 09, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1447962329
- Provider Type
- Organization
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- December 22, 2022
- Last Updated
- May 09, 2025
Practice Location
- 15 Riverside Dr
- Johnson City, NY 13790-2742
Phone: (607) 217-4170
Authorized Official
- Name
- Eli Iskandar Kassis
- Title
- Owner
- Credentials
- LMHC
- Phone
- (607) 217-4170
Specialties
- Mental Health Counselor (101YM0800X)
Endpoints
- www.evolutionmentalhealthcounseling.com
Connect Url | Other | Csv | Johnson City, NY 13790
Website
Browse Similar Providers
See more Mental Health providers in Johnson City, NY.
Full Record
- NPI
- 1447962329
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Evolution Mental Health Counseling PLLC
- Mailing Street Address
- 15 Riverside Dr
- Mailing City
- Johnson City
- Mailing State
- NY
- Mailing ZIP Code
- 13790-2742
- Mailing Country
- US
- Mailing Phone
- (607) 217-4170
- Practice Street Address
- 15 Riverside Dr
- Practice City
- Johnson City
- Practice State
- NY
- Practice ZIP Code
- 13790-2742
- Practice Country
- US
- Practice Phone
- (607) 217-4170
- Enumeration Date
- December 22, 2022
- Last Updated
- May 09, 2025
- Authorized Official Last Name
- Kassis
- Authorized Official First Name
- Eli
- Authorized Official Middle Name
- Iskandar
- Authorized Official Title
- Owner
- Authorized Official Phone
- (607) 217-4170
- Organization Subpart
- No
- Authorized Official Credential Text
- LMHC
- Taxonomy Group 1
- 193400000X Multiple Single Specialty Group
- Certification Date
- May 09, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)