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DEVEREUX NPI 1912040403


NPI Information

NPI: 1912040403
Provider Name: DEVEREUX
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
501 N WYMORE RD
WINTER PARK, FL
ZIP 32789
Phone: (407) 975-2565
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DEVEREUX is a mental health counselor in Winter Park, FL. DEVEREUX NPI is 1912040403. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 N WYMORE RD
WINTER PARK, FL
ZIP 32789-808
Phone: (407) 975-2565
Fax: (407) 975-2585

The provider's authorized official is John G Williams .
The authorized official title is Therapist and has the following contact phone number (407) 975-2565.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 8/22/2020.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthMH5420FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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