Organization
EVOLUTION COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL W. BIANCO LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(954) 850-0511
Entity
Organization
Contact information
Practice address
915 OAKFIELD DR, SUITE E, BRANDON, FL 33511-4933
(954) 850-0511
(813) 681-2208
Mailing address
915 OAKFIELD DR, SUITE E, BRANDON, FL 33511-4933
(954) 850-0511
(813) 681-2208
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH8725
FL
Other
Enumeration date
07/20/2014
Last updated
07/20/2014
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