Evernorth Behavioral Care Group of New Jersey, P.c.

NPI #1104602234 in Lake Mary, Florida

Provider Information

NPI Number: 1104602234
Entity Type: Organization
Organization Name: Evernorth Behavioral Care Group of New Jersey, P.c.
Primary Specialty: Counselor
Enumeration Date: Sep 5, 2023
Last Updated: Dec 7, 2023

Practice Location

Address: 255 TECHNOLOGY PARK
City: Lake Mary
State: Florida
ZIP Code: 32746-6211
Phone: (877) 501-7991

Authorized Official

Name: ELIZABETH NELSON
Title: LEGAL COUNSEL
Phone: (843) 540-7108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Counselor	101Y00000X	Primary

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