Organization
PRIVATE PRACTICE COUNSELING INC
Active
Organization
PRIVATE PRACTICE COUNSELING INC
Active
Other names
Private Practice Counseling Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE M SANTAELLA LMHC (LICENSED MENTAL HEALTH COUNSEL)
(773) 218-9651
Entity
Organization
Contact information
Practice address
1613 GATTIS DR, ORLANDO, FL 32825
(773) 218-9651
Mailing address
1613 GATTIS DR, ORLANDO, FL 32825-5409
(312) 450-4444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH16047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH16047
PRIVATE HEALTH INSURANCE PROVIDERS
FL
Enumeration date
08/29/2017
Last updated
07/21/2022
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