MEDICARE: CONVEY THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1093609976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONVEY THERAPY INC

Provider Business Mailing Address
First Line	:	7803 LAKE WILSON RD# 1107
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33896
Country	:	US
Telephone Number	:	407-279-0119
Fax Number	:	321-449-8777

Provider Business Practice Location Address
First Line	:	7803 LAKE WILSON RD #1107
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33896
Country	:	US
Telephone Number	:	407-279-0119
Fax Number	:	321-449-8777

Authorized Official
Title or Position	:	MENTAL HEALTH THERAPIST
Name	:	JANE S HERNANDEZ
Credential	:	LMHC
Telephone Number	:	407-279-0119

Provider Enumeration Date	:	06/05/2025
Last Update Date	:	06/05/2025

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Directions to “CONVEY THERAPY INC ” Practice Location

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