Organization
CENTER FOR MOOD DISORDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI L OLMSTEAD LMHC (OWNER)
(772) 224-1294
Entity
Organization
Contact information
Practice address
1408 19TH ST, SUITE C, VERO BEACH, FL 32960-3628
(772) 224-1294
Mailing address
1408 19TH ST, SUITE C, VERO BEACH, FL 32960-3628
(772) 224-1294
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LM12574
FL
Other
Enumeration date
05/24/2014
Last updated
05/24/2014
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