Evernorth Behavioral Care Group Of New Jersey, P.c. | |
255 Technology Park Lake Mary FL 32746-6211 | |
(877) 501-7991 | |
Not Available |
Full Name | Evernorth Behavioral Care Group Of New Jersey, P.c. |
---|---|
Speciality | Counselor |
Location | 255 Technology Park, Lake Mary, Florida |
Authorized Official Name and Position | Elizabeth Nelson (LEGAL COUNSEL) |
Authorized Official Contact | 8435407108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evernorth Behavioral Care Group Of New Jersey, P.c. 625 Market St Fl 15 San Francisco CA 94105-3316 Ph: () - | Evernorth Behavioral Care Group Of New Jersey, P.c. 255 Technology Park Lake Mary FL 32746-6211 Ph: (877) 501-7991 |
NPI Number | 1104602234 |
---|---|
Provider Enumeration Date | 09/05/2023 |
Last Update Date | 12/07/2023 |
Certification Date | 12/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104602234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
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