Cypress Grove Counseling Center Llc | |
6551 N Orange Blossom Trail Suite 209 #1005 Mount Dora FL 32757 | |
(540) 850-9978 | |
Not Available |
Full Name | Cypress Grove Counseling Center Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, Florida |
Authorized Official Name and Position | Krystie Moss (OWNER) |
Authorized Official Contact | 5408509978 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cypress Grove Counseling Center Llc 6551 N Orange Blossom Trail Suite 209 #1005 Mount Dora FL 32757 Ph: (540) 850-9978 | Cypress Grove Counseling Center Llc 6551 N Orange Blossom Trail Suite 209 #1005 Mount Dora FL 32757 Ph: (540) 850-9978 |
NPI Number | 1093324824 |
---|---|
Provider Enumeration Date | 07/28/2020 |
Last Update Date | 07/28/2020 |
Certification Date | 07/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093324824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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