| Tricounty Tele Behavioral Services, Llc | |
|
501 N Orlando Ave Suite 313-185 Winter Park FL 32789-7313 | |
| (407) 803-4016 | |
| (407) 803-4045 |
| Full Name | Tricounty Tele Behavioral Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 501 N Orlando Ave, Winter Park, Florida |
| Authorized Official Name and Position | Sofia Qadir (PRESIDENT) |
| Authorized Official Contact | 4078034016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricounty Tele Behavioral Services, Llc 101 E Miller St Orlando FL 32806-2123 Ph: (407) 803-4016 | Tricounty Tele Behavioral Services, Llc 501 N Orlando Ave Suite 313-185 Winter Park FL 32789-7313 Ph: (407) 803-4016 |
| NPI Number | 1326590449 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326590449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME62388 (Florida) | Primary |
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