Organization
LEAD,EMPOWERED,SET,MENTAL HEALTH SERVICES,LLC
Active
Other names
LEAD, EMPOWERED, SET, MENTAL HEALTH SERVICES,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ABRIL MEDINA LMHC (CLINICAL DIRECTOR)
(407) 301-1845
Entity
Organization
Contact information
Practice address
6925 LAKE ELLENOR DR STE 120, ORLANDO, FL 32809-4648
(407) 552-5444
Mailing address
6925 LAKE ELLENOR DR STE 120, ORLANDO, FL 32809-4648
(407) 552-5444
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116781200
—
FL
Enumeration date
01/12/2023
Last updated
01/02/2024
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