| Doctor Name: | EVELYN CRUZ |
| NPI Number: | 1083906226 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCMH, CADC, CCDPD |
| License Number: | PC-0000455 |
| Business Practice Address: | 3944 Highway 17 Unit 7 Murrells Inlet, SC - 295765094 |
| Business Phone Number: | 3022663246 |
| Business Fax Number: | 8439470812 |
| Mailing Address: | 3944 Highway 17, Unit 7 MURRELLS INLET |
| State: | SC |
| Postal Code: | 295765094 |
| Phone Number: | 3022663246 |
| Fax Number: | 8439470812 |
| NPI Enumeration Date: | 05/06/2011 |
| NPI Last Update Date: | 05/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PC-0000455 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |