Organization
MY MENTAL HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARIA HANSEN LCSW (CLINICAL ADMINISTRATOR/OWNER)
(786) 393-0315
Entity
Organization
Contact information
Practice address
801 INTERNATIONAL PARKWAY, FIFTH FLOOR, LAKE MARY, FL 32746-4762
(786) 393-0315
Mailing address
3083 NEVERLAND DR, NEW SMYRNA, FL 32168-2442
(786) 393-0315
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109795800
—
FL
Enumeration date
05/16/2022
Last updated
05/18/2022
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