| Canopy Counseling Center | |
|
2431 Aloma Ave # 251 Winter Park FL 32792-2541 | |
| (407) 923-5440 | |
| Not Available |
| Full Name | Canopy Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2431 Aloma Ave # 251, Winter Park, Florida |
| Authorized Official Name and Position | Melody Mitchell (OWNER) |
| Authorized Official Contact | 4079235440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canopy Counseling Center 2431 Aloma Ave # 251 Winter Park FL 32792-2541 Ph: (407) 923-5440 | Canopy Counseling Center 2431 Aloma Ave # 251 Winter Park FL 32792-2541 Ph: (407) 923-5440 |
| NPI Number | 1083056956 |
|---|---|
| Provider Enumeration Date | 07/21/2013 |
| Last Update Date | 07/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083056956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11199 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW9099 (Florida) | Primary |
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