| The House Next Door | |
|
840 Deltona Blvd Deltona FL 32725-7162 | |
| (386) 734-7571 | |
| (386) 734-0252 |
| Full Name | The House Next Door |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 840 Deltona Blvd, Deltona, Florida |
| Authorized Official Name and Position | Gail Hallmon (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 3867347571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The House Next Door 840 Deltona Blvd Deltona FL 32725-7162 Ph: (386) 734-7571 | The House Next Door 840 Deltona Blvd Deltona FL 32725-7162 Ph: (386) 734-7571 |
| NPI Number | 1952798332 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952798332 | NPI | - | NPPES |
| 070525000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH5223 (Florida) | Primary |
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