Organization
HORIZON WEST COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J. MICELI ED.D. LCSW (MANAGER)
(407) 906-4352
Entity
Organization
Contact information
Practice address
16830 WINGSPREAD LOOP, WINTER GARDEN, FL 34787-9550
(617) 501-3921
Mailing address
3065 DANIELS RD # 1414, WINTER GARDEN, FL 34787-7002
(407) 906-4352
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/10/2022
Last updated
04/14/2023
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