| Center For Relationship Development Inc | |
|
2802 Aloma Ave Ste 102 Winter Park FL 32792-3532 | |
| (407) 415-0206 | |
| (407) 628-3300 |
| Full Name | Center For Relationship Development Inc |
|---|---|
| Speciality | Counselor |
| Location | 2802 Aloma Ave Ste 102, Winter Park, Florida |
| Authorized Official Name and Position | Susan Elizabeth Sheppard (PRESIDENT) |
| Authorized Official Contact | 4074150206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Relationship Development Inc 2802 Aloma Ave Ste. 102 Winter Park FL 32792-3532 Ph: (407) 415-0206 | Center For Relationship Development Inc 2802 Aloma Ave Ste 102 Winter Park FL 32792-3532 Ph: (407) 415-0206 |
| NPI Number | 1457626616 |
|---|---|
| Provider Enumeration Date | 03/20/2012 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 3375996721 |
|---|---|
| Medicare Enrollment ID | O20240201001337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457626616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 3806 (Florida) | Primary |
| Provider Name | Susan Elizabeth Sheppard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275651440 PECOS PAC ID: 4284087636 Enrollment ID: I20240209002186 |
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