| The Family Mental Health Practice | |
|
2760 Sw 17th St Suite 300 Ocala FL 34471 | |
| (352) 629-4113 | |
| (386) 439-1403 |
| Full Name | The Family Mental Health Practice |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2760 Sw 17th St, Ocala, Florida |
| Authorized Official Name and Position | Theodore Richard Deroche (OWNER PRIVATE PRACTICE) |
| Authorized Official Contact | 3864391403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Mental Health Practice 701 N Central Avenue Flagler Beach FL 32136 Ph: (386) 439-1403 | The Family Mental Health Practice 2760 Sw 17th St Suite 300 Ocala FL 34471 Ph: (352) 629-4113 |
| NPI Number | 1770762593 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770762593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH0000050 (Florida) | Primary |
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