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Organization
FLORIDA MENTAL HEALTH & EAP SERVICES, LLC
Active
Organization
FLORIDA MENTAL HEALTH & EAP SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTOINLETE PENNYCOOKE MA, LMHC (PRESIDENT)
(407) 403-1221
Entity
Organization
Contact information
Practice address
7345 W SAND LAKE RD, ORLANDO, FL 32819-5284
(407) 403-1221
Mailing address
PO BOX 536064, ORLANDO, FL 32853-6064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9440
FL
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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