| Melanated Mental Health, Llc | |
|
1630 Callie Ct Apopka FL 32703-1567 | |
| (407) 961-9863 | |
| Not Available |
| Full Name | Melanated Mental Health, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1630 Callie Ct, Apopka, Florida |
| Authorized Official Name and Position | Erica Necole Desaussure (OWNER/LMFT) |
| Authorized Official Contact | 4079619863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanated Mental Health, Llc 1630 Callie Ct Apopka FL 32703-1567 Ph: (407) 961-9863 | Melanated Mental Health, Llc 1630 Callie Ct Apopka FL 32703-1567 Ph: (407) 961-9863 |
| NPI Number | 1891448783 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891448783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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