TABULA RASA RENEWED NPI 1215279534

NPI Information

TABULA RASA RENEWED is a counselor in Orlando, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. TABULA RASA RENEWED NPI is 1215279534. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

702 PARK LAKE ST
ORLANDO, FL
ZIP 32803-024
Phone: (407) 272-3700

The provider's authorized official is Cordett D Mccall .
The authorized official title is President and has the following contact phone number (407) 272-3700.

The enumeration date for this NPI number is 3/25/2013 and was last updated on 3/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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