Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evelyn Waller

Individual provider Mental Health Counselor · NPI 1104200401

Evelyn Waller is a Mental Health Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

123 E Mayland St
Philadelphia, PA 19144-2020
Phone: (267) 584-2474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1104200401
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 16, 2015
Last updated in NPPESJuly 16, 2015

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