Evangelista, Amanda June

Evangelista, Amanda June is an individual health care provider with primary practice located at 914 Harrison Ave , Panama City FL 32401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evangelista, Amanda June can be contacted via phone (850) 747-5755.

Contact Information

Primary practice address
914 Harrison Ave Panama City FL 32401
Phone: (850) 747-5755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1265849186
LBN Legal business name Evangelista, Amanda June
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2014
Last updated Mar 8th, 2019 - about 7 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.

Request for update

Popular Providers