Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Evernorth Behavioral Care Group of New Jersey, PC

Organization Counselor · NPI 1104602234

Evernorth Behavioral Care Group of New Jersey, PC provides Counselor services in Lake Mary, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

255 Technology Park
Lake Mary, FL 32746-6211
Phone: (877) 501-7991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Psychologist Taxonomy 103T00000X

Record details

NPI number1104602234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Nelson — Legal Counsel · (843) 540-7108
NPI enumeratedSeptember 5, 2023
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address625 Market St Fl 15, San Francisco, CA 94105-3316

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