| Horizon West Neurobehavioral Health | |
|
13790 Bridgewater Crossings Blvd 1080 Windermere FL 34786-5446 | |
| (407) 461-0239 | |
| Not Available |
| Full Name | Horizon West Neurobehavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 13790 Bridgewater Crossings Blvd, Windermere, Florida |
| Authorized Official Name and Position | Nicole M Whitt (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4079061037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon West Neurobehavioral Health 13790 Bridgewater Crossings Blvd #1080 Windermere FL 34786-5447 Ph: (407) 461-0239 | Horizon West Neurobehavioral Health 13790 Bridgewater Crossings Blvd 1080 Windermere FL 34786-5446 Ph: (407) 461-0239 |
| NPI Number | 1508375742 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Medicare PECOS PAC ID | 9436418654 |
|---|---|
| Medicare Enrollment ID | O20180116002776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508375742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | PY9639 (Florida) | Primary |
| Provider Name | Nicole M Whitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205381977 PECOS PAC ID: 6608163936 Enrollment ID: I20160929001519 |
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