Organization · Type 2 NPI
Vista Psychological Services, PA
Mental Health Counselor · Winter Park, FL
NPI number
1013073980
Active
Practice location
120 University Park Dr, Suite 215
Winter Park, FL 32792-4440
Fax (407) 657-4269
Mailing address
PO Box 4728
Winter Park, FL 32793-4728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH1561 (FL) |
| Mental Health Counselor | 101YM0800X | MH3101 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1013073980
Vista Psychological Services, PA's National Provider Identifier is 1013073980, issued on Dec 28, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winter Park, FL. The record was last updated on Aug 22, 2020.