Healthcare Provider Details

I. General information

NPI: 1871417378
Provider Name (Legal Business Name): IN VIA BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 ARMSTRONG AVE
CLERMONT FL
34714-8100
US

IV. Provider business mailing address

2820 ARMSTRONG AVE
CLERMONT FL
34714-8100
US

V. Phone/Fax

Practice location:
  • Phone: 385-232-1869
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL MCDONNELL
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LMHC
Phone: 385-232-1869