| Dr. Reesa Donnelly Inc. | |
|
3908 Sw 6th Pl Gainesville FL 32607-2722 | |
| (352) 216-4579 | |
| Not Available |
| Full Name | Dr. Reesa Donnelly Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3908 Sw 6th Pl, Gainesville, Florida |
| Authorized Official Name and Position | Reesa Donnelly (CEO OF CORPORATION) |
| Authorized Official Contact | 3522164579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Reesa Donnelly Inc. 3908 Sw 6th Pl Gainesville FL 32607-2722 Ph: (352) 216-4579 | Dr. Reesa Donnelly Inc. 3908 Sw 6th Pl Gainesville FL 32607-2722 Ph: (352) 216-4579 |
| NPI Number | 1003432584 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 06/22/2020 |
| Certification Date | 06/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003432584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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