Organization
CENTRAL FLORIDA MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORI KELLEY PHD (OWNER COUNSELOR)
(352) 536-2364
Entity
Organization
Contact information
Practice address
221 N HIGHWAY 27, SUITE B, CLERMONT, FL 34711-2431
(352) 536-2364
(352) 536-2370
Mailing address
221 N HIGHWAY 27, SUITE B, CLERMONT, FL 34711-2431
(352) 536-2364
(352) 536-2370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007392583
AETNA
FL
01
—
1197964
CIGNA
FL
01
—
3290746
UNITED BEHAVIORAL HEALTH
FL
01
—
535703
VALUE OPTIONS
FL
01
—
72149600
MAGELLAN
FL
01
—
HARMONY
276309
FL
01
—
Z080U
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/13/2007
Last updated
08/22/2020
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