Victoria Evangelista, | |
43393 Schoenherr Rd, Sterling Heights, MI 48313-1959 | |
(586) 482-8287 | |
Not Available |
Full Name | Victoria Evangelista |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 43393 Schoenherr Rd, Sterling Heights, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326439399 | NPI | - | NPPES |
101YA0400X | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 6401017276 (Michigan) | Primary |
Entity Name | Thrive Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245667443 PECOS PAC ID: 2264664630 Enrollment ID: O20140417001020 |
Mailing Address | Practice Location Address |
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Victoria Evangelista, 3300 Lansing Avenue, Jackson, MI 49202 Ph: () - | Victoria Evangelista, 43393 Schoenherr Rd, Sterling Heights, MI 48313-1959 Ph: (586) 482-8287 |
Mrs. Michelle Brown, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36250 Dequindre Rd, 310, Sterling Heights, MI 48310 Phone: 586-795-0569 | |
Anne Margot Holtvluwer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 35812 Ashford Dr, Sterling Heights, MI 48312 Phone: 586-744-3212 | |
Debra Denise Napier, LPC Counselor Medicare: Medicare Enrolled Practice Location: 34465 Maple Lane Dr, Sterling Heights, MI 48312 Phone: 313-663-3444 Fax: 775-871-4361 | |
Ms. Whitney Leigh James, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 43329 Schoenherr Rd, Sterling Heights, MI 48313 Phone: 248-277-5353 | |
Cornelia Alyscha Golden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7333 Triangle Dr Fl 1, Sterling Heights, MI 48314 Phone: 855-284-7483 Fax: 617-807-0958 | |
Brian Ashley, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 42101 Tessmer Dr, Sterling Heights, MI 48314 Phone: 586-739-6593 | |
Mrs. Sarah Anne Boyce, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6555 15 Mile Rd, Sterling Heights, MI 48312 Phone: 586-948-0224 |