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EVERNORTH BEHAVIORAL CARE GROUP OF CALIFORNIA P.C. NPI 1710763834


NPI Information

NPI: 1710763834
Provider Name: EVERNORTH BEHAVIORAL CARE GROUP OF CALIFORNIA, P.C.
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
255 TECHNOLOGY PARK
LAKE MARY, FL
ZIP 32746
Phone: (877) 501-7991
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EVERNORTH BEHAVIORAL CARE GROUP OF CALIFORNIA, P.C. is a counselor in Lake Mary, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. EVERNORTH BEHAVIORAL CARE GROUP OF CALIFORNIA, P.C. NPI is 1710763834. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

255 TECHNOLOGY PARK
LAKE MARY, FL
ZIP 32746-211
Phone: (877) 501-7991

The provider's authorized official is Elizabeth Nelson .
The authorized official title is Legal Counsel and has the following contact phone number (843) 540-7108.

The enumeration date for this NPI number is 9/5/2023 and was last updated on 12/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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