| Florida Mental Health Clinic, Llc | |
|
3564 Avalon Park E Blvd Suite I-a753 Orlando FL 32828-7365 | |
| (407) 826-1095 | |
| (407) 826-1095 |
| Full Name | Florida Mental Health Clinic, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3564 Avalon Park E Blvd, Orlando, Florida |
| Authorized Official Name and Position | Sandra Emilce Miramontes (LICENSED MARRIAGE AND FAMILY THERAP) |
| Authorized Official Contact | 4078261095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Mental Health Clinic, Llc 3564 Avalon Park Boulevard Suite 1-a753 Orlando FL 32828-7365 Ph: (407) 826-1095 | Florida Mental Health Clinic, Llc 3564 Avalon Park E Blvd Suite I-a753 Orlando FL 32828-7365 Ph: (407) 826-1095 |
| NPI Number | 1134981467 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 11/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134981467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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