Healthcare Provider Details

I. General information

NPI: 1467169573
Provider Name (Legal Business Name): ARROW PSYCHOLOGICAL & CONSULTING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2022
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WAYMONT CT STE 126
LAKE MARY FL
32746-3413
US

IV. Provider business mailing address

401 S ELLIOTT AVE
SANFORD FL
32771-2225
US

V. Phone/Fax

Practice location:
  • Phone: 407-205-7770
  • Fax:
Mailing address:
  • Phone: 407-205-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA FERNANDEZ
Title or Position: PRESIDENT
Credential: PSYD
Phone: 407-205-7770