Organization
COLLECTIVE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA Y LELLO LMHC (OWNER)
(074) 310-4485
Entity
Organization
Contact information
Practice address
3455 ASTORIA CT, WINTER PARK, FL 32792-2005
(321) 241-2920
Mailing address
3455 ASTORIA CT, WINTER PARK, FL 32792-2005
(073) 104-4854
(717) 427-4153
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QV0200X
VA Clinic/Center
—
—
Other
Enumeration date
06/15/2020
Last updated
06/17/2021
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