Doctor Name: | TERESA L EVEN |
NPI Number: | 1023073814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH6524 |
Business Practice Address: | 2625 S Florida Ave Lakeland, FL - 338033860 |
Business Phone Number: | 8632845941 |
Business Fax Number: | 8632845199 |
Mailing Address: | 1324 Lakeland Hills Blvd, Attn: Medical Staff Office LAKELAND |
State: | FL |
Postal Code: | 338054543 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 07/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MH6524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |