Organization
SYSTEMIC INNOVATIONS, LLC
Active
Other names
Julie Eberwein PHD, LMHC
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE D EBERWEIN PHD, LMHC, CAP (OWNER)
(407) 691-3960
Entity
Organization
Contact information
Practice address
406 LAKE HOWELL RD, MAITLAND, FL 32751-5907
(407) 691-3960
(407) 691-3961
Mailing address
406 LAKE HOWELL RD, MAITLAND, FL 32751-5907
(407) 691-3960
(407) 691-3961
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH9903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001116400
—
FL
Enumeration date
05/01/2014
Last updated
06/04/2014
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