| Firm Foundation Mental Health | |
|
2917 N Pine Hills Rd Orlando FL 32808-3539 | |
| (407) 398-0893 | |
| Not Available |
| Full Name | Firm Foundation Mental Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2917 N Pine Hills Rd, Orlando, Florida |
| Authorized Official Name and Position | Juanita Larry Riley (THERAPIST) |
| Authorized Official Contact | 4072911680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Firm Foundation Mental Health Po Box 607891 Orlando FL 32860-7891 Ph: (407) 291-1680 | Firm Foundation Mental Health 2917 N Pine Hills Rd Orlando FL 32808-3539 Ph: (407) 398-0893 |
| NPI Number | 1902828809 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902828809 | NPI | - | NPPES |
| MH4756 | Other | FL | LICENSED COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH4756 (Florida) | Primary |
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