Mh At Orlando Llc | |
2431 Sand Lake Rd Orlando FL 32809-7641 | |
(855) 876-8648 | |
Not Available |
Full Name | Mh At Orlando Llc |
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Speciality | Counselor - Mental Health |
Location | 2431 Sand Lake Rd, Orlando, Florida |
Authorized Official Name and Position | Nick Matteo (CFO) |
Authorized Official Contact | 5613184430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mh At Orlando Llc 2328 10th Ave N Ste 302 Lake Worth FL 33461-6612 Ph: () - | Mh At Orlando Llc 2431 Sand Lake Rd Orlando FL 32809-7641 Ph: (855) 876-8648 |
NPI Number | 1003271719 |
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Provider Enumeration Date | 12/22/2015 |
Last Update Date | 12/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003271719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
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