Individual Provider - Mental Health Clinic in Longwood, FL

Individual Provider is a mental health clinic (Community/behavioral Health) in Longwood, Florida. The current practice location for Individual Provider is 650 Palermo Vista Ct, Longwood, Florida. For appointments, you can reach them via phone at (317) 697-8932. The mailing address for Individual Provider is 650 Palermo Vista Ct, Longwood, Florida and phone number is (317) 697-8932.

Individual Provider is licensed to practice in Florida (license number ISW10093) and its NPI number is 1033587795. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (317) 697-8932.

Contact Information

Individual Provider
650 Palermo Vista Ct
Longwood
FL 32750-3419
(317) 697-8932
Not Available

Mental Health Clinic Profile

Full NameIndividual Provider
SpecialityCommunity/behavioral Health
Location650 Palermo Vista Ct, Longwood, Florida
Authorized Official Name and PositionChristine Marie Garry (MASTER'S LEVEL CONTRACT CLINICIAN)
Authorized Official Contact3176978932
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Individual Provider
650 Palermo Vista Ct
Longwood
FL 32750-3419

Ph: (317) 697-8932
Individual Provider
650 Palermo Vista Ct
Longwood
FL 32750-3419

Ph: (317) 697-8932

NPI Details:

NPI Number1033587795
Provider Enumeration Date09/10/2015
Last Update Date09/10/2015

Medical Identifiers

Medical identifiers for Individual Provider such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033587795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health ISW10093 (Florida)Primary

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› Verified 6 days ago

Community/Behavioral Health in Longwood, FL

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