Evangelista, Victoria

Evangelista, Victoria is an individual health care provider with primary practice located at 43393 Schoenherr Rd , Sterling Heights MI 48313-1959. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Evangelista, Victoria can be contacted via phone (586) 482-8287.

Contact Information

Primary practice address
43393 Schoenherr Rd Sterling Heights MI 48313-1959
Phone: (586) 482-8287
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401017276 Michigan

Profile Details

NPI number 1326439399
LBN Legal business name Evangelista, Victoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2015
Last updated May 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326439399 NPPES
Michigan MEDICAID 101YA0400X

Popular Providers