| Evermind Llc | |
|
4101 Neptune Rd Saint Cloud FL 34769-6754 | |
| (321) 223-7070 | |
| Not Available |
| Full Name | Evermind Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4101 Neptune Rd, Saint Cloud, Florida |
| Authorized Official Name and Position | Jillian Gatz (PROVIDER) |
| Authorized Official Contact | 3212237070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evermind Llc 4296 Sasha Trl Saint Cloud FL 34772-8869 Ph: (321) 223-7070 | Evermind Llc 4101 Neptune Rd Saint Cloud FL 34769-6754 Ph: (321) 223-7070 |
| NPI Number | 1962997015 |
|---|---|
| Provider Enumeration Date | 06/29/2018 |
| Last Update Date | 06/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962997015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT3287 (Florida) | Primary |
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