| 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 |