| Conscious Change,llc | |
|
1626 Nightfall Dr Clermont FL 34711-2762 | |
| (407) 968-6723 | |
| Not Available |
| Full Name | Conscious Change,llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1626 Nightfall Dr, Clermont, Florida |
| Authorized Official Name and Position | Samia Husni (LICENSED PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 4079686723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conscious Change,llc 1626 Nightfall Dr Clermont FL 34711-2762 Ph: (407) 968-6723 | Conscious Change,llc 1626 Nightfall Dr Clermont FL 34711-2762 Ph: (407) 968-6723 |
| NPI Number | 1932729779 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932729779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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