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Provider Information for 1629067772


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Miss EVELYN GAIL SAUNDERS LPC


Sex: Female

NPI: 1629067772
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1629067772
Enumeration Date2005-10-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1000 COMMERCIAL LN
SUFFOLK, VA 23434-8148
United States

Phone: 757-942-1069 | Fax:
 
Primary Practice Address 1000 COMMERCIAL LN
SUFFOLK, VA 23434-8148
United States

Phone: 757-942-1069 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)VA250264MAMSI
Other (non-Medicare)VA282482HEALTHKEEPERS
Other (non-Medicare)VA4945310VA PREMIER
MEDICAIDVA5401615
Other (non-Medicare)VA540990270MAGELLAN
Other (non-Medicare)VA701002539HORIZON BEHAVIORAL HEALTH
Other (non-Medicare)VAO87320SENTARA FAMILY CARE
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthVA0701002539