Provider Demographics
NPI:1033542543
Name:ABAD, EVA M (LMHC)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:M
Last Name:ABAD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 772002
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34477-2002
Mailing Address - Country:US
Mailing Address - Phone:868-864-6317
Mailing Address - Fax:720-265-9580
Practice Address - Street 1:11820 MIRAMAR PKWY STE 304
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-5820
Practice Address - Country:US
Practice Address - Phone:786-886-4631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12265101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016998100Medicaid