Organization
SEYLA COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MERTENS PHD (OWNER/PRESIDENT)
(321) 677-2789
Entity
Organization
Contact information
Practice address
6900 TANRSROCK LAKE BLVD SUITE 400, ORLANDO, FL 32827
(321) 677-2789
Mailing address
PO BOX 410162, MELBOURNE, FL 32941
(321) 677-2789
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
002722
CT
103TA0700X
Adult Development & Aging Psychologist
PY10004
FL
103TB0200X
Cognitive & Behavioral Psychologist
002722
CT
103TB0200X
Cognitive & Behavioral Psychologist
PY10004
FL
103TC0700X
Clinical Psychologist
002722
CT
103TC0700X
Clinical Psychologist
Primary
PY10004
FL
103TH0004X
Health Psychologist
002722
CT
103TH0004X
Health Psychologist
PY10004
FL
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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