Evolve With Integrity- Consultation & Behavioral Health Services Llc | |
3433 Club Cir Lakeshore FL 33854-1230 | |
(863) 934-1152 | |
Not Available |
Full Name | Evolve With Integrity- Consultation & Behavioral Health Services Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3433 Club Cir, Lakeshore, Florida |
Authorized Official Name and Position | Sharee Lino (CEO) |
Authorized Official Contact | 8639341152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evolve With Integrity- Consultation & Behavioral Health Services Llc Po Box 8574 Lakeshore FL 33854-8574 Ph: (863) 934-1152 | Evolve With Integrity- Consultation & Behavioral Health Services Llc 3433 Club Cir Lakeshore FL 33854-1230 Ph: (863) 934-1152 |
NPI Number | 1881385474 |
---|---|
Provider Enumeration Date | 05/16/2023 |
Last Update Date | 05/16/2023 |
Certification Date | 05/16/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881385474 | NPI | - | NPPES |
10605100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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