Organization
GREATER GAINESVILLE COUNSELING & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S. MERRELL (MEMBER)
(352) 234-6712
Entity
Organization
Contact information
Practice address
4130 NW 37TH PL STE BOFFICE1, GAINESVILLE, FL 32606-8152
(352) 359-5345
Mailing address
4130 NW 37TH PL STE BOFFICE1, GAINESVILLE, FL 32606-8152
(352) 234-6712
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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