| Vicalex Behavioral Health Pa | |
|
9040 Town Center Pkwy Lakewood Ranch FL 34202-4101 | |
| (845) 364-9226 | |
| (845) 512-5244 |
| Full Name | Vicalex Behavioral Health Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9040 Town Center Pkwy, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Claudia Olave-guillermo (OWNER) |
| Authorized Official Contact | 8453649226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicalex Behavioral Health Pa 9040 Town Center Pkwy Lakewood Ranch FL 34202-4101 Ph: (845) 364-9226 | Vicalex Behavioral Health Pa 9040 Town Center Pkwy Lakewood Ranch FL 34202-4101 Ph: (845) 364-9226 |
| NPI Number | 1841943099 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 08/28/2022 |
| Certification Date | 08/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841943099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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