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Felipe Fonseca, Llc.
Mental Health Counselor in Winter Park, Florida
NPI 1598284259

Felipe Fonseca, Llc. is a Mental Health Counselor based in Saint Cloud, FL and is specialized in Mental Health. Felipe Fonseca, Llc. practices in Winter Park, FL. The NPI Number for Felipe Fonseca, Llc. is 1598284259 and holds a License No. MH14147 (Florida).

The current practice location address for Felipe Fonseca, Llc. is 2260 Glenwood Dr, Winter Park, FL and can be reached out via phone at 845-826-0727 and via fax at 407-892-8346.

Location: 2260 Glenwood Dr, Winter Park, FL, 34772-6858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598284259
Provider Name
Felipe Fonseca, Llc.
Credential
Provider Entity Type
Organization
Address
2260 Glenwood Dr, Winter Park, FL, 34772-6858
Phone Number
845-826-0727
Fax Number
407-892-8346
Provider Enumeration Date
09/13/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
601184189 01 FL MAGELLAN
4879059 01 FL AETNA
020576300 05 FL
QJK6X 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2260 Glenwood Dr
City
Winter Park
State
Florida
Zip
32792-3312
Phone Number
845-826-0727
Fax Number
407-892-8346
person
Provider Business Mailing Address Details
Address
2260 Glenwood Dr
City
Winter Park
State
Florida
Zip
32792-3312
Phone Number
845-826-0727
Fax Number
407-892-8346
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
MH14147 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH14147 (Florida)
Definition
Definition to come...
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