CONNIE S EVANS


Address: 109 Pineapple St E, Bowling Green, FL 33834-1039
Phone: 8633754052

CONNIE S EVANS (NPI# 1891957775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891957775
Entity Type Individual
Full Name CONNIE S EVANS
Credential LMHC
Practice Address 109 Pineapple St E
Bowling Green
FL 33834-1039
Mailing Address 109 Pineapple St E
Po Box 1039
Bowling Green
FL 33834-1039
Practice Telephone 8633754052
Mailing Telephone 8633754052
Enumeration Date 2008-07-01
Last Update Date 2008-07-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH8020 FL Behavioral Health & Social Service Providers
N 101YS0200X Counselor
Specialization: School
FL Behavioral Health & Social Service Providers

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1740888007 Connie Evans Technician 111 Virginia Ave, Petersburg, WV 26847-1713 2020-10-09
1649740010 Connie S Evans Hearing Instrument Specialist 100 E Northwood St, Greensboro, NC 27401-1310 2018-11-28
1689824971 Connie H Evans Dental Hygienist 3750 Commercial Ave, San Antonio, TX 78221-3117 2008-09-24

Office Location

Street Address 109 PINEAPPLE ST E
City BOWLING GREEN
State FL
Zip Code 33834-1039

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467469890 Diversified Behavioral Health Solutions Counselor 4705 Us Highway 17 N, Bowling Green, FL 33834-5004 2006-08-01
1275523565 Joyce Oliver-fulse Speech-Language Pathologist 4831 Dixiana Dr, Bowling Green, FL 33834-5050 2005-10-27
1699958603 J. Oliver Speech Pathology Services, Inc. Early Intervention Provider Agency 4831 Dixiana Dr, Bowling Green, FL 33834-5050 2007-12-12
1225309297 Raul P. Palomado, Md Pa Clinic/Center 302 W Main St, Bowling Green, FL 33834-5053 2012-01-23
1669755195 Frontline Health Services LLC Pharmacy 304 W Main St, Bowling Green, FL 33834-5053 2011-09-21
1922043439 Raul P Palomado General Practice 302 W Main St, Bowling Green, FL 33834-5053 2006-06-18
1285914150 Epca, Inc Clinic/Center 5207 Mason Dixon Ave, Bowling Green, FL 33834-5095 2011-08-24
1366724486 Epca, Inc Substance Abuse Rehabilitation Facility 5207 Mason Dixon Ave, Bowling Green, FL 33834-5095 2011-09-14
1255730735 Healthstat Onsite Clinic- Mosaic Bowling Green Preventive Medicine 6209 N County Road 663, Bowling Green, FL 33834-6807 2014-08-20
1013903996 Jose Ricardo Burgos Polo Dentist 6901 State Road 62, Bowling Green, FL 33834-8976 2005-09-26
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1336706902 Alice J Beckner Counselor 624 Oaklawn Way, Bowling Green, KY 42104-3867 2019-05-20
1083279715 Telehealth Counseling of Ky, LLC Counselor 429 Adalynn Cir, Bowling Green, KY 42104-0001 2019-05-08
1174003032 Leah Marie Gomez Counselor 221 S Church St Ste 200, Bowling Green, OH 43402-2816 2018-08-20
1306397476 Nnennaya Njoku Counselor 299 Westwood Ave, Bowling Green, KY 42103-9066 2016-10-24
1760864060 Catherine Crawford Counselor 1084 S Main St Ste A, Bowling Green, OH 43402-4740 2015-06-23
1629491576 Reba Mcginnis Counselor 918 State St, 2nd Floor, Bowling Green, KY 42101-2233 2014-01-29
1922442367 Mary Howard Higgins Counselor 424 Hammett Hill Rd, Bowling Green, KY 42101-8244 2013-04-27
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Competitor

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City BOWLING GREEN
Zip Code 33834

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Dataset Information

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.

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