| Carlyjayellc | |
|
185 Drennen Rd Ste 333 Orlando FL 32806-6187 | |
| (321) 234-7554 | |
| Not Available |
| Full Name | Carlyjayellc |
|---|---|
| Speciality | Counselor |
| Location | 185 Drennen Rd Ste 333, Orlando, Florida |
| Authorized Official Name and Position | Carly Resnick (CEO) |
| Authorized Official Contact | 3212347554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlyjayellc 185 Drennen Rd Ste 333 Orlando FL 32806-6187 Ph: () - | Carlyjayellc 185 Drennen Rd Ste 333 Orlando FL 32806-6187 Ph: (321) 234-7554 |
| NPI Number | 1003637877 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003637877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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