Organization
EVOLUTIONS HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA HERNANDEZ (BILLING MANAGER)
(954) 203-3584
Entity
Organization
Contact information
Practice address
720 S DIXIE HWY, STE 1, LANTANA, FL 33462-4652
(561) 619-5858
(561) 828-3154
Mailing address
720 S DIXIE HWY, STE 1, LANTANA, FL 33462-4652
(561) 619-5858
(561) 828-3154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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