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Organization
VISTA EMPLOYEE ASSISTANCE & COUNSELING INC
Active
Organization
VISTA EMPLOYEE ASSISTANCE & COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA N HERZOG LCSW (OWNER)
(407) 324-9440
Entity
Organization
Contact information
Practice address
101 TIMBERLACHEN CIR, SUITE 201, LAKE MARY, FL 32746-6124
(407) 324-9440
(407) 330-5244
Mailing address
101 TIMBERLACHEN CIR, SUITE 201, LAKE MARY, FL 32746-6124
(407) 324-9440
(407) 330-5244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW002024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336128834
NPI INDIVIDUAL
FL
01
—
Z4208
BCBS
FL
Enumeration date
12/06/2006
Last updated
08/22/2020
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