Organization · Type 2 NPI

Gina V Eaton, Lcsw, PA

Mental Health Clinic/Center (Including Community Mental Health Center) · Davie, FL

NPI number 1184029845 Active

Practice location

12555 Orange Dr, Suite 215
Davie, FL 33330-4304

Call (954) 862-1736 Map

Fax (954) 862-1738

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XSW 3884 (FL)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1184029845

Gina V Eaton, Lcsw, PA's National Provider Identifier is 1184029845, issued on Oct 23, 2014. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Davie, FL. The record was last updated on Oct 23, 2014.