Provider Demographics
NPI:1659381424
Name:EVANS, RONNIE JAMES (LMHC NCC)
Entity Type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:JAMES
Last Name:EVANS
Suffix:
Gender:M
Credentials:LMHC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5327 COMMERCIAL WAY
Mailing Address - Street 2:C 115
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-1448
Mailing Address - Country:US
Mailing Address - Phone:352-597-5497
Mailing Address - Fax:352-597-1662
Practice Address - Street 1:5327 COMMERCIAL WAY
Practice Address - Street 2:C 115
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-1448
Practice Address - Country:US
Practice Address - Phone:352-597-5497
Practice Address - Fax:352-597-1662
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3030101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health