Organization
DR. REESA DONNELLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REESA DONNELLY PH.D. (CEO OF CORPORATION)
(352) 216-4579
Entity
Organization
Contact information
Practice address
3908 SW 6TH PL, GAINESVILLE, FL 32607-2722
(352) 216-4579
Mailing address
3908 SW 6TH PL, GAINESVILLE, FL 32607-2722
(352) 216-4579
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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