CYPRESS GROVE COUNSELING CENTER LLC (NPI# 1093324824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093324824 |
| Entity Type | Organization |
| Organization Name | CYPRESS GROVE COUNSELING CENTER LLC |
| Practice Address |
6551 N Orange Blossom Trail Suite 209 #1005 Mount Dora FL 32757 |
| Practice Telephone | 5408509978 |
| Mailing Telephone | 5408509978 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | MRS. KRYSTIE MOSS (OWNER) |
| Authorized Official Telephone | 5408509978 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
6551 N ORANGE BLOSSOM TRAIL SUITE 209 #1005 |
| City | MOUNT DORA |
| State | FL |
| Zip Code | 32757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327286 | Alisha Dawn Bateman | Nurse Practitioner | 7678 Lake Ola Dr., Mount Dora, FL 32757 | 2019-10-16 |
| 1306496153 | Carehere LLC | Family Medicine | Carehere Clinic- City of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 | 2019-09-13 |
| 1871008680 | Sonya Quiroz | Behavior Technician | 21038 Niles Ave, Mount Dora, FL 32757 | 2017-12-04 |
| 1043737661 | Erin N Booth | Behavior Technician | 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 | 2017-08-24 |
| 1053850073 | Sunshine Recovery Network, Inc | Community/Behavioral Health | 632 E 5th Ave, Mount Dora, FL 32757 | 2017-02-23 |
| 1336684661 | Catherine Lim Panlilio | Physical Therapist | 300 Brookfield Avenue, Mount Dora, FL 32757 | 2016-12-22 |
| 1659815306 | Mount Dora Modern Dentistry, Pa | Dentist | 17365 Us Hwy 441, Eustis, FL 32757 | 2016-12-15 |
| 1447603303 | Lake County Adult Activity Center Inc | Respite Care | 1934 N Donnelly St, Suite B, Mount Dora, FL 32757 | 2016-07-15 |
| 1871955724 | Sagir Patel | Dentist | 17365 Us Highway 441, Mount Dora, FL 32757 | 2016-03-22 |
| 1992198204 | Wendy Donald | Counselor | 6215 Holly St, Mount Dora, FL 32757 | 2015-03-11 |
| Find all providers in zip 32757 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145286 | Erin Marie Shaffer | Counselor | 30106 Kladruby Pt, Mount Dora, FL 32757-7834 | 2018-12-09 |
| 1992198204 | Wendy Donald | Counselor | 6215 Holly St, Mount Dora, FL 32757 | 2015-03-11 |
| 1205148343 | Jennifer Sandler | Counselor | 9003 Heathland Ct, Mount Dora, FL 32757 | 2010-07-06 |
| 1295827368 | Terri Anne Harper | Counselor | 4400 N Highway 19a Ste 5, Mount Dora, FL 32757-2022 | 2006-09-28 |
| 1346341955 | Peggy A Keene | Counselor | 301 N Baker St, Suite 213, Mount Dora, FL 32757-5574 | 2006-09-26 |
| 1619909223 | Michael Paul Bailey | Counselor | 2450 Robert D Rd, Mount Dora, FL 32757-9786 | 2006-07-06 |
| 1598754749 | Larry E. Shyers, Ph.d., and Associates, Inc | Counselor | 3750 Lake Center Loop, Mount Dora, FL 32757-2211 | 2005-10-20 |
| 1316312143 | Brandi Lefler | Counselor | 4400 N Highway 19a, Suite 5, Mount Dora, FL 32757-2032 | 2015-12-04 |
| 1023441557 | Nils Anders Swanson | Counselor | 3750 Lake Center Loop, Mount Dora, FL 32757-2211 | 2013-08-20 |
| 1972826741 | Margarete Denk Ryon | Counselor | 3750 Lake Center Loop, Mount Dora, FL 32757-2211 | 2010-03-09 |
| Find all providers in MOUNT DORA | ||||
| City | MOUNT DORA |
| Zip Code | 32757 |
Please comment or provide details below to improve the information on CYPRESS GROVE COUNSELING CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.