Healthcare Provider Details

I. General information

NPI: 1306643564
Provider Name (Legal Business Name): EVANTI COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14384 SW 97TH TER
MIAMI FL
33186-8857
US

IV. Provider business mailing address

14384 SW 97TH TER
MIAMI FL
33186-8857
US

V. Phone/Fax

Practice location:
  • Phone: 305-733-3633
  • Fax:
Mailing address:
  • Phone: 305-733-3633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: ISMAEL PITA
Title or Position: OWNER
Credential:
Phone: 786-499-5400