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Elaine Tan, MS,LMHC
Mental Health Counselor in Longwood, Florida
NPI 1114018660

Elaine Tan is a Mental Health Counselor based in Winter Park, FL and is specialized in Mental Health. Elaine Tan practices in Longwood, FL and has the professional credentials of MS,LMHC. The NPI Number for Elaine Tan is 1114018660 and holds a License No. MH6775 (Florida).

The current practice location address for Elaine Tan is 555 W State Road 434, Longwood, FL and can be reached out via phone at 321-842-2175.

Location: 555 W State Road 434, Longwood, FL, 32792-6556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114018660
Provider Name
Elaine Tan
Credential
MS,LMHC
Provider Entity Type
Individual
Gender
Female
Address
555 W State Road 434, Longwood, FL, 32792-6556
Phone Number
321-842-2175
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
763370000 05 FL
institution
Provider Business Practice Location Address Details
Address
555 W State Road 434
City
Longwood
State
Florida
Zip
32750-5119
Phone Number
321-842-2175
Fax Number
person
Provider Business Mailing Address Details
Address
555 W State Road 434
City
Longwood
State
Florida
Zip
32750-5119
Phone Number
321-842-2175
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH6775 (Florida)
Definition
Definition to come...
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