Devereux Advanced Behavioral Health | |
3550 N Goldenrod Rd Ste 1 Winter Park FL 32792-8823 | |
(321) 441-1030 | |
Not Available |
Full Name | Devereux Advanced Behavioral Health |
---|---|
Speciality | Counselor - Mental Health |
Location | 3550 N Goldenrod Rd Ste 1, Winter Park, Florida |
Authorized Official Name and Position | Anthony Mckeever (NATIONAL DIRECT OF AR) |
Authorized Official Contact | 6105423064 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Devereux Advanced Behavioral Health 5850 T G Lee Blvd Ste 400 Orlando FL 32822-4409 Ph: (407) 362-9210 | Devereux Advanced Behavioral Health 3550 N Goldenrod Rd Ste 1 Winter Park FL 32792-8823 Ph: (321) 441-1030 |
NPI Number | 1134883358 |
---|---|
Provider Enumeration Date | 10/25/2021 |
Last Update Date | 07/13/2022 |
Certification Date | 07/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134883358 | NPI | - | NPPES |
029573624 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
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