Organization · Type 2 NPI

Visionary Vanguard Group

Mental Health Counselor · Clermont, FL

NPI number 1780931469 Active

Practice location

1200 Oakley Seaver Dr, Suite 203
Clermont, FL 34711-1958

Call (407) 314-5373 Map

Fax (888) 587-1421

Mailing address

976 Lake Baldwin Ln, Suite 203
Orlando, FL 32814-6687

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH6575 (FL)
Mental Health Counselor 101YM0800XMH6078 (FL)
Mental Health Counselor 101YM0800XNCC #54428
Mental Health Counselor 101YM0800XNCC #48936
Behavior Analyst 103K00000X0000077 (FL)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1780931469

Visionary Vanguard Group's National Provider Identifier is 1780931469, issued on Aug 13, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clermont, FL. The record was last updated on Aug 13, 2012.