Providers For Healthy Living II
Psychiatry & Neurology, Psychiatry in Maitland, FL. Organization (NPI-2).
NPI number1417536145
StatusActive
Last updated in NPPESAug 24, 2023
Details
- NPI
- 1417536145
- Entity type
- Organization (NPI-2)
- Legal business name
- Providers For Healthy Living II
- Organization subpart
- No
- Enumeration date
- Apr 8, 2021
- Certification date
- Aug 24, 2023
- Last updated
- Aug 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Providers For Healthy Living (Doing Business As)
Practice location
341 N Maitland Ave Ste 340Maitland, FL 32751-4761
Phone 407-219-3281 · Fax 407-219-3281
Mailing address
341 N Maitland Ave Ste 340Maitland, FL 32751-4761
Phone 407-219-3281 · Fax 614-664-3595
Authorized official
Matthew Lowe
Ceo
4072193281
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All 15 Psychiatry Physician providers in Maitland · All 2,034 providers in Maitland
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