Provider Demographics
NPI:1497550628
Name:EVANS FAMILY PSYCHIATRY INC
Entity type:Organization
Organization Name:EVANS FAMILY PSYCHIATRY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, PMHNP, FNP
Authorized Official - Phone:269-506-4555
Mailing Address - Street 1:2103 WINTERMERE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5439
Mailing Address - Country:US
Mailing Address - Phone:269-506-4555
Mailing Address - Fax:321-517-2999
Practice Address - Street 1:2103 WINTERMERE POINTE DR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-5439
Practice Address - Country:US
Practice Address - Phone:321-326-7516
Practice Address - Fax:321-517-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty