Organization
LAKE NONA BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYLVIA JOHNSON MD (OWNER)
(407) 808-5773
Entity
Organization
Contact information
Practice address
10437 MOSS PARK RD STE B, ORLANDO, FL 32832-5812
(407) 808-5773
(321) 236-9134
Mailing address
10437 MOSS PARK RD STE B, ORLANDO, FL 32832-5812
(407) 808-5773
(321) 236-9134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
11/12/2019
Last updated
11/25/2022
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