Wenzel, Evelyn M.

Wenzel, Evelyn M. is an sole proprietor health care provider with primary practice located at 1850 Lee Rd Ste 215 6700 S. Florida Ave., Suite 29 Lakeland, Fl, Winter Park FL 32789-2106. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wenzel, Evelyn M. can be contacted via phone (407) 375-1214.

Contact Information

Primary practice address
1850 Lee Rd Ste 215 6700 S. Florida Ave., Suite 29 Lakeland, Fl Winter Park FL 32789-2106
Phone: (407) 375-1214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3086 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW5764 Florida

Profile Details

NPI number 1962598607
LBN Legal business name Wenzel, Evelyn M.
Credentials LCSW, CAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated May 29th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962598607 NPPES
Other Z002Y BLUE CROSS BLUE SHIELD-

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