Provider Demographics
NPI:1811651839
Name:EVANS, SYKENA LASHALE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SYKENA
Middle Name:LASHALE
Last Name:EVANS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6322 APPLE RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-8101
Mailing Address - Country:US
Mailing Address - Phone:850-393-4487
Mailing Address - Fax:
Practice Address - Street 1:3250 W NAVY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-8048
Practice Address - Country:US
Practice Address - Phone:850-393-4487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW190881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical