| Breanna Simanton Llc | |
|
801 International Pkwy Ste 500 Lake Mary FL 32746-4763 | |
| (321) 233-5565 | |
| Not Available |
| Full Name | Breanna Simanton Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 801 International Pkwy Ste 500, Lake Mary, Florida |
| Authorized Official Name and Position | Breanna Sue Simanton (FOUNDER) |
| Authorized Official Contact | 4075924186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Simanton Llc 801 International Pkwy Ste 500 Lake Mary FL 32746-4763 Ph: (321) 233-5565 | Breanna Simanton Llc 801 International Pkwy Ste 500 Lake Mary FL 32746-4763 Ph: (321) 233-5565 |
| NPI Number | 1013746007 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013746007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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