Organization
CANOPY COUNSELING CENTER
Active
Organization
CANOPY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY MITCHELL LCSW (OWNER)
(407) 923-5440
Entity
Organization
Contact information
Practice address
2431 ALOMA AVE # 251, WINTER PARK, FL 32792-2541
(407) 923-5440
Mailing address
2431 ALOMA AVE # 251, WINTER PARK, FL 32792-2541
(407) 923-5440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH11199
FL
1041C0700X
Clinical Social Worker
Primary
SW9099
FL
Other
Enumeration date
07/21/2013
Last updated
07/21/2013
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