Organization
MY WHOLE HEALTH LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEYDE SENA SILVA PHD (COUNSELOR)
(407) 203-5090
Entity
Organization
Contact information
Practice address
6965 PIAZZA GRANDE AVE, ORLANDO, FL 32835-8779
(407) 203-5090
(407) 203-5092
Mailing address
6965 PIAZZA GRANDE AVE, ORLANDO, FL 32835-8779
(407) 203-5090
(407) 203-5092
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
CMHP 50094
FL
251S00000X
Community/Behavioral Health Agency
Primary
LCCC 052784
FL
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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