Evidence Based Consultation (EBC LLC) NPI Porivder Identity 1639783574
Informed Consent for Telehealth Services By utilizing the virtual therapy platform provided by Evidence-Based Consultation (EBC LLC), you consent to receive telepsychology and behavioral health services via electronic audio/visual communications. You understand that telehealth involves the transmission of clinical data across digital networks under PsyPact compliance mandates. While we implement rigorous, high-level cryptographic safeguards to preserve confidentiality, you acknowledge the inherent security risks of digital platforms. You retain the right to withdraw this consent or terminate virtual care pathways at any time.

Evidence-Based Consultation (EBC LLC)
NPI Provider Identity: 1639783574
Address: Serving Patients Virtually Across 50+ PsyPact States | Ashburn, VA 20147
Contact: (703)727-5243 | Support@evidencebasedconsultation.com
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