Organization
BREANNA SIMANTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA SUE SIMANTON MS, DBH (FOUNDER)
(407) 592-4186
Entity
Organization
Contact information
Practice address
801 INTERNATIONAL PKWY STE 500, LAKE MARY, FL 32746-4763
(321) 233-5565
Mailing address
801 INTERNATIONAL PKWY STE 500, LAKE MARY, FL 32746-4763
(321) 233-5565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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