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1555 Indian River Blvd Ste B115 Vero Beach FL 32960-7112 | |
| (772) 365-1115 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1555 Indian River Blvd Ste B115, Vero Beach, Florida |
| Authorized Official Name and Position | Mitchell Eisert (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7723651115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5550 41st St Vero Beach FL 32967-1626 Ph: (772) 365-1115 | 1555 Indian River Blvd Ste B115 Vero Beach FL 32960-7112 Ph: (772) 365-1115 |
| NPI Number | 1659943488 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 08/10/2024 |
| Certification Date | 08/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659943488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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