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Organization
LEAD,EMPOWERED,SET,MENTAL HEALTH SERVICES,LLC
Active
Organization
LEAD,EMPOWERED,SET,MENTAL HEALTH SERVICES,LLC
Active
Other names
LEAD, EMPOWERED, SET, MENTAL HEALTH SERVICES,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ABRIL MEDINA LMHC (CLINICAL DIRECTOR)
(407) 301-1845
Entity
Organization
Contact information
Practice address
6925 LAKE ELLENOR DR STE 120, ORLANDO, FL 32809-4648
(407) 552-5444
Mailing address
6925 LAKE ELLENOR DR STE 120, ORLANDO, FL 32809-4648
(407) 552-5444
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116781200
—
FL
Enumeration date
01/12/2023
Last updated
01/02/2024
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