Individual provider · Type 1 NPI

Diane Grose, MA LMHC

Mental Health Counselor · Longwood, FL

NPI number 1811000672 Active

Practice location

117 Cambridge Drive
Longwood, FL 32779-5707

Call (407) 697-0220 Map

Fax (407) 772-0228

Mailing address

117 Cambridge Dr
Longwood, FL 32779-5707

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH5484 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1811000672

Diane Grose, MA LMHC's National Provider Identifier is 1811000672, issued on Aug 16, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longwood, FL. The record was last updated on Jul 8, 2007.