| 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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