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7601 Conroy Windermere Rd Suite 202 Orlando FL 32835-2689 | |
| (407) 522-9919 | |
| (407) 522-9343 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7601 Conroy Windermere Rd, Orlando, Florida |
| Authorized Official Name and Position | Jessica Gilstrap (PRESIDENT) |
| Authorized Official Contact | 4075229919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7601 Conroy Windermere Rd Suite 202 Orlando FL 32835-2689 Ph: (407) 522-9919 | 7601 Conroy Windermere Rd Suite 202 Orlando FL 32835-2689 Ph: (407) 522-9919 |
| NPI Number | 1629439229 |
|---|---|
| Provider Enumeration Date | 03/10/2016 |
| Last Update Date | 03/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629439229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7186 (Florida) | Primary |
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