| Courtney Cavall | |
|
4803 Seaberg Rd Zephyrhills FL 33541-2862 | |
| (954) 649-6592 | |
| Not Available |
| Full Name | Courtney Cavall |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4803 Seaberg Rd, Zephyrhills, Florida |
| Authorized Official Name and Position | Courtney Cavall (MBR) |
| Authorized Official Contact | 9546496592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Cavall 4803 Seaberg Rd Zephyrhills FL 33541-2862 Ph: (954) 649-6592 | Courtney Cavall 4803 Seaberg Rd Zephyrhills FL 33541-2862 Ph: (954) 649-6592 |
| NPI Number | 1255941209 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255941209 | NPI | - | NPPES |
| 024475500 | Medicaid | FL | |
| 024451900 | Medicaid | FL | |
| 590688286 | Other | FL | LICENSED MENTAL HEALTH COUNSELOR, LMHC, MH 10216. FLORIDA DEPARTMENT OF HEALTH |
| 108005400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
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