Organization
BEHAVIORAL HEALTH SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMILTON S PEIRSOL PSY.D., CAP, CAADC (CEO)
(912) 401-3990
Entity
Organization
Contact information
Practice address
2538 LEEWARD WAY, WINTER PARK, FL 32792-1625
(912) 401-3990
Mailing address
3 CHATUACHEE XING, SAVANNAH, GA 31411-1602
(912) 401-3990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5774
FLORIDA CERTIFICATION BOARD
FL
Enumeration date
04/06/2015
Last updated
04/19/2016
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