Organization
1 VILLAGE 1 CHILD
Active
Organization
1 VILLAGE 1 CHILD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH DALY PH.D. (OWNER)
(321) 209-3259
Entity
Organization
Contact information
Practice address
1257 REAGANS RESERVE BLVD, APOPKA, FL 32712-3008
(321) 209-3259
Mailing address
PO BOX 308, GOTHA, FL 34734-0308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
102X00000X
Poetry Therapist
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/01/2014
Last updated
02/05/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up