Evernorth Behavioral Care Group of Florida, P.a.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

EVERNORTH BEHAVIORAL CARE GROUP OF FLORIDA, P.A.

Practice address

255 Technology Park
Lake Mary, FL 32746-6211

Phone

(877) 501-7991

NPI assigned

Aug 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Nelson

Title

Legal Counsel

Phone

(843) 540-7108

Specialties & licenses 2

Addresses

Other names 1

• Cotricity Health Group of Florida, P.A. Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1053030643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MARKET ST FL 15",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TECHNOLOGY PARK",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466211",
            "telephone_number": "877-501-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERNORTH BEHAVIORAL CARE GROUP OF FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "LEGAL COUNSEL",
        "authorized_official_telephone_number": "843-540-7108"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cotricity Health Group of Florida, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eternamd
• Taylor Stoeckert Eubank, APRN
• Jamal Anthon Evans Jr Jr.
• Jama Lynn Evans
• Evernorth Behavioral Care Group of California, P.C.
• Evernorth Behavioral Care Group of New Jersey, P.C.
• Evernorth Behavioral Care Group of New York Psychiatry, P.C.
• Excellent Life Design Corporation
• Express Medical Care
• Express Nurses LLC

• Counselor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.