Evolve With Integrity- Consultation & Behavioral Health Services LLC

Key facts

NPI

1881385474

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Legal business name

EVOLVE WITH INTEGRITY- CONSULTATION & BEHAVIORAL HEALTH SERVICES LLC

Practice address

3433 Club Cir
Lakeshore, FL 33854-1230

Phone

(863) 934-1152

NPI assigned

May 16, 2023

Organization subpart

No

Authorized official

Name

Sharee Lino, LMHC

Title

Ceo

Phone

(863) 934-1152

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharee Lino-Covil Mental Health Counselor · Bartow, FL · NPI 1205153459
  NPD

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 16, 2023.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1881385474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8574",
            "city": "LAKESHORE",
            "state": "FL",
            "postal_code": "338548574",
            "telephone_number": "863-934-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 CLUB CIR",
            "city": "LAKESHORE",
            "state": "FL",
            "postal_code": "338541230",
            "telephone_number": "863-934-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE WITH INTEGRITY- CONSULTATION & BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "LINO",
        "authorized_official_first_name": "SHAREE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-934-1152",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10605100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}