| Poinciana Behavioral Health Clinic, Inc. | |
|
2068 E Osceola Pkwy Kissimmee FL 34743-8602 | |
| (407) 483-3939 | |
| (407) 449-4321 |
| Full Name | Poinciana Behavioral Health Clinic, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2068 E Osceola Pkwy, Kissimmee, Florida |
| Authorized Official Name and Position | Euladia Mercado (OWNER) |
| Authorized Official Contact | 4075728862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poinciana Behavioral Health Clinic, Inc. Po Box 584792 Kissimmee FL 34758 Ph: (407) 483-3939 | Poinciana Behavioral Health Clinic, Inc. 2068 E Osceola Pkwy Kissimmee FL 34743-8602 Ph: (407) 483-3939 |
| NPI Number | 1780286393 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 11/10/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780286393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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