| Kellie Garza Llc | |
|
5445 Village Dr Ste 104 Viera FL 32955-6666 | |
| (321) 403-7036 | |
| Not Available |
| Full Name | Kellie Garza Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5445 Village Dr Ste 104, Viera, Florida |
| Authorized Official Name and Position | Kellie Garza (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3214037036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Garza Llc 5445 Village Dr Ste 104 Viera FL 32955-6666 Ph: (321) 403-7036 | Kellie Garza Llc 5445 Village Dr Ste 104 Viera FL 32955-6666 Ph: (321) 403-7036 |
| NPI Number | 1750750634 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 09/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750750634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH9492 (Florida) | Primary |
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