| Private Practice Counseling Inc | |
|
1613 Gattis Dr Orlando FL 32825 | |
| (773) 218-9651 | |
| Not Available |
| Full Name | Private Practice Counseling Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1613 Gattis Dr, Orlando, Florida |
| Authorized Official Name and Position | Jorge M Santaella (LICENSED MENTAL HEALTH COUNSEL) |
| Authorized Official Contact | 7732189651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Private Practice Counseling Inc 1613 Gattis Dr Orlando FL 32825-5409 Ph: (312) 450-4444 | Private Practice Counseling Inc 1613 Gattis Dr Orlando FL 32825 Ph: (773) 218-9651 |
| NPI Number | 1063939163 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063939163 | NPI | - | NPPES |
| MH16047 | Other | FL | PRIVATE HEALTH INSURANCE PROVIDERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH16047 (Florida) | Primary |
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