# SEL MENTAL HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093142945
- **Authorized official:** MRS. EBONY ROBINSON-MIZELL B.S, J.D. (TARGETED CASE MANAGER)
- **Authorized official phone:** (407) 701-6619

## Contact information

- **Practice address:** 4402 HAYLOCK DR, ORLANDO, FL 32807-1010
- **Practice address phone:** (407) 701-6619
- **Mailing address:** 4402 HAYLOCK DR, ORLANDO, FL 32807-1010
- **Mailing address phone:** (407) 701-6619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2013
- **Last updated:** 10/07/2013