| De Novo Wellness & Mental Health Llc | |
|
401 W Oak St Kissimmee FL 34741-4931 | |
| (407) 674-2044 | |
| (407) 674-2049 |
| Full Name | De Novo Wellness & Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 401 W Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Bania Esther Sosa (OWNER) |
| Authorized Official Contact | 4076742044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Novo Wellness & Mental Health Llc 401 W Oak St Kissimmee FL 34741-4931 Ph: (407) 674-2044 | De Novo Wellness & Mental Health Llc 401 W Oak St Kissimmee FL 34741-4931 Ph: (407) 674-2044 |
| NPI Number | 1669084018 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 02/11/2023 |
| Certification Date | 02/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669084018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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