| Cypress Grove Counseling Center Llc | |
|
6551 N Orange Blossom Trail Suite 209 #1005 Mount Dora FL 32757 | |
| (540) 850-9978 | |
| Not Available |
| Full Name | Cypress Grove Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, Florida |
| Authorized Official Name and Position | Krystie Moss (OWNER) |
| Authorized Official Contact | 5408509978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress Grove Counseling Center Llc 6551 N Orange Blossom Trail Suite 209 #1005 Mount Dora FL 32757 Ph: (540) 850-9978 | Cypress Grove Counseling Center Llc 6551 N Orange Blossom Trail Suite 209 #1005 Mount Dora FL 32757 Ph: (540) 850-9978 |
| NPI Number | 1093324824 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093324824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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