Individual ProviderVirginia Evon WinnCounselorBehavioral Health & Social Service ProvidersPractice Address8461 Lake Worth Rd, Suite 238, Lake Worth, FL 33467-2474(561) 713-1189PECOS EnrollmentBased on the most recent information from CMS, provider Virginia Evon Winn does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1528341229Provider TypeIndividualFull NameWinn, Virginia EvonTitleMrs.CredentialLMHC,CAP, ICADCGenderFemaleSole ProprietorYesEnumeration Date9/20/2011Last Updated11/1/2013Contact InformationPractice LocationPractice Address8461 Lake Worth Rd, Suite 238, Lake Worth, FL 33467-2474Phone(561) 713-1189Fax(561) 713-1191Mailing LocationMailing Address8461 Lake Worth Rd, Suite 238, Lake Worth, FL 33467-2474Phone(561) 713-1189Fax(561) 713-1191Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH9045FloridaCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCAP 4445Florida