| North East Orlando Counseling Center, Llc | |
|
2500 W Lake Mary Blvd Ste 107 Lake Mary FL 32746-3501 | |
| (407) 782-5092 | |
| (267) 295-1929 |
| Full Name | North East Orlando Counseling Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2500 W Lake Mary Blvd Ste 107, Lake Mary, Florida |
| Authorized Official Name and Position | Diane P Snow (CEO/OWNER) |
| Authorized Official Contact | 4077825092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North East Orlando Counseling Center, Llc 2500 W Lake Mary Blvd Ste 107 Lake Mary FL 32746-3501 Ph: (407) 782-5092 | North East Orlando Counseling Center, Llc 2500 W Lake Mary Blvd Ste 107 Lake Mary FL 32746-3501 Ph: (407) 782-5092 |
| NPI Number | 1912362005 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 04/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912362005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW12409 (Florida) | Primary |
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