Individual
EVELYN IMES COSMAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1629 BEDFORDSHIRE, BEDFORD, TX 76021-4640
(407) 301-2594
Mailing address
1629 BEDFORDSHIRE, BEDFORD, TX 76021-4640
(407) 301-2594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 7132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z083D
BCBS
FL
Enumeration date
05/22/2006
Last updated
10/07/2009
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