Even, Teresa L

Even, Teresa L is an individual health care provider with primary practice located at 1201 1St St S , Winter Haven FL 33880-3904. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Even, Teresa L can be contacted via phone (863) 294-7062.

Contact Information

Primary practice address
1201 1St St S Winter Haven FL 33880-3904
Phone: (863) 294-7062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH6524 Florida

Profile Details

NPI number 1023073814
LBN Legal business name Even, Teresa L
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Sep 1st, 2022 - about 4 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 1023073814 NPPES
Florida MEDICAID 761645700

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