Provider Demographics
NPI:1700805769
Name:SANTI-HOCHFELDER, EVELYN GIZELLE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:GIZELLE
Last Name:SANTI-HOCHFELDER
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 1:16510 SW 81ST AVE
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-3706
Mailing Address - Country:US
Mailing Address - Phone:305-254-4065
Mailing Address - Fax:305-477-3599
Practice Address - Street 1:3901 NW 79TH AVE
Practice Address - Street 2:SUITE 119
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6554
Practice Address - Country:US
Practice Address - Phone:305-599-0442
Practice Address - Fax:305-477-3599
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4962101YA0400X
FLDMH4962101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ01SKOtherBLUECROSS BLUESHIELD OF FLORIDA