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Ms. Alisa D Grove, MS
Mental Health Counselor in Leesburg, Florida
NPI 1982986733

Alisa D Grove is a Mental Health Counselor based in Leesburg, FL and is specialized in Mental Health. Alisa D Grove practices in Leesburg, FL and has the professional credentials of MS. The NPI Number for Alisa D Grove is 1982986733 and holds a License No. (Florida).

The current practice location address for Alisa D Grove is 4408 Bedford Way, Leesburg, FL and can be reached out via phone at 407-421-2031.

Location: 4408 Bedford Way, Leesburg, FL, 34748-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982986733
Provider Name
Alisa D Grove
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
4408 Bedford Way, Leesburg, FL, 34748-1321
Phone Number
407-421-2031
Fax Number
Provider Enumeration Date
09/16/2011
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
122073300 05 FL
institution
Provider Business Practice Location Address Details
Address
4408 Bedford Way
City
Leesburg
State
Florida
Zip
34748-1321
Phone Number
407-421-2031
Fax Number
person
Provider Business Mailing Address Details
Address
4408 Bedford Way
City
Leesburg
State
Florida
Zip
34748-1321
Phone Number
407-421-2031
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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