Evans, Connie S

Evans, Connie S is an sole proprietor health care provider with primary practice located at 109 Pineapple St E , Bowling Green FL 33834-1039. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Evans, Connie S can be contacted via phone (863) 375-4052.

Contact Information

Primary practice address
109 Pineapple St E Bowling Green FL 33834-1039
Phone: (863) 375-4052
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8020 Florida

Profile Details

NPI number 1891957775
LBN Legal business name Evans, Connie S
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2008
Last updated Jul 3rd, 2008 - about 16 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.

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