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120 Broadway Ste 206 Kissimmee FL 34741-5705 | |
| (954) 696-3747 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 120 Broadway Ste 206, Kissimmee, Florida |
| Authorized Official Name and Position | Ellisa Scott (EXEC.DIRECTOR/CEO) |
| Authorized Official Contact | 9546963747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
120 Broadway Ste 206 Kissimmee FL 34741-5705 Ph: (954) 696-3747 | 120 Broadway Ste 206 Kissimmee FL 34741-5705 Ph: (954) 696-3747 |
| NPI Number | 1366798092 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366798092 | NPI | - | NPPES |
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