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Organization
PROFESSIONAL BEHAVIORAL SERVICES, LLC
Active
Organization
PROFESSIONAL BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANEL FUENTES FLORES TCM (PRACTICE DIRECTOR)
(402) 222-8145
Entity
Organization
Contact information
Practice address
110 LEXINGTON GREEN LN, SANFORD, FL 32771-1025
(407) 734-1273
Mailing address
8614 BRACKENWOOD DR, ORLANDO, FL 32829-8628
(787) 645-7302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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