VICTORIA EVANGELISTA (NPI# 1326439399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326439399 |
| Entity Type | Individual |
| Full Name | VICTORIA EVANGELISTA |
| Practice Address |
43393 Schoenherr Rd Sterling Heights MI 48313-1959 |
| Mailing Address |
3300 Lansing Avenue Jackson MI 49202 |
| Practice Telephone | 5864828287 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2019-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401017276 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 101YA0400X | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 Lansing Ave, Jackson, MI 492021621 | 5177842929 |
| Street Address |
43393 SCHOENHERR RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48313-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186594 | Chadi H Mansour | Internal Medicine | 43393 Schoenherr Rd, Sterling Heights, MI 48313-1959 | 2005-07-07 |
| 1649803842 | Angela Glaspie | Counselor | 43393 Schoenherr Rd, Sterling Heights, MI 48313-1959 | 2020-02-15 |
| 1073842241 | Macomb Primary Care PC | Internal Medicine | 43393 Schoenherr Rd, Sterling Heights, MI 48313-1959 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435397 | Britany Lee Colonna | Technician/Technologist | 39100 Augusta Ave, Sterling Heights, MI 48313 | 2018-08-01 |
| 1871012245 | Amy Lechtenberg | Midwife | 42248 Montroy Dr, Sterling Heights, MI 48313 | 2017-09-16 |
| 1770012064 | Emily Bedy | Specialist/Technologist | 15004 Bridgeview Dr, Sterling Heights, MI 48313 | 2017-06-08 |
| 1801347174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14200 Lakeside Cir, Sterling Heights, MI 48313 | 2016-10-20 |
| 1225407653 | Diana Hill | Registered Nurse | 433361 Cape Dr, Sterling Heights, MI 48313 | 2015-09-16 |
| 1104202845 | Xhesika Tasi | Licensed Practical Nurse | 44208 Orchard Ln, Sterling Heights, MI 48313 | 2015-08-05 |
| 1740698604 | Star Behavior Consultants, LLC | Community/Behavioral Health | 12231 N York Dr, Sterling Heights, MI 48313 | 2014-07-23 |
| 1215348529 | Care Counseling Solutions LLC | Social Worker | 11945 19 Mile Rd, Sterling Heights, MI 48313 | 2014-05-09 |
| 1326462870 | Lauren Rae Gomes | Chiropractor | 13919 19 Mile Rd, Sterling Heights, MI 48313 | 2014-02-04 |
| 1760625776 | Deborah Ann Langlois | Pharmacist | 13500 19 Mile Road, Sterling Heights, MI 48313 | 2009-04-07 |
| Find all providers in zip 48313 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933794 | Tyler Spencer | Counselor | 40772 Supreme Ct, Sterling Heights, MI 48313-4463 | 2020-08-17 |
| 1750745725 | Reham Hermiz | Counselor | 4301 E 14 Mile Rd, Sterling Heights, MI 48310-6411 | 2016-04-06 |
| 1063887552 | Brian Ashley | Counselor | 42101 Tessmer Dr, Sterling Heights, MI 48314-3059 | 2015-12-09 |
| 1659651206 | Gary James Wend | Counselor | 11664 Ebony Ct, Sterling Heights, MI 48312-3026 | 2011-08-26 |
| 1619067063 | Susan Varady PC | Counselor | 12151 15 Mile Rd, Sterling Heights, MI 48312-5120 | 2006-10-14 |
| 1649803842 | Angela Glaspie | Counselor | 43393 Schoenherr Rd, Sterling Heights, MI 48313-1959 | 2020-02-15 |
| 1356800809 | J. R. Counseling | Counselor | 39393 Van Dyke Ave Ste 209, Sterling Heights, MI 48313-4637 | 2019-03-14 |
| 1497109854 | Mariette Madeleine Seguin | Counselor | 44056 Mound Rd, Suite 105, Sterling Heights, MI 48314-1357 | 2016-04-21 |
| 1689056079 | Amanda Hirata | Counselor | 6555 15 Mile Rd, Sterling Heights, MI 48312-4511 | 2015-06-23 |
| 1871989616 | Sax Guthery | Counselor | 38271 Mound Rd Bldg B, Sterling Heights, MI 48310-3401 | 2015-04-08 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48313 |
Please comment or provide details below to improve the information on VICTORIA EVANGELISTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.