Healthcare Provider Details
I. General information
NPI: 1003725763
Provider Name (Legal Business Name): GROW WITH YOU BEHAVIORAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7448 ALOMA AVE STE 5
WINTER PARK FL
32792-9171
US
IV. Provider business mailing address
7448 ALOMA AVE STE 5
WINTER PARK FL
32792-9171
US
V. Phone/Fax
- Phone: 407-716-6219
- Fax:
- Phone: 407-716-6219
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MAYELIN
AGUILAR PEREZ
Title or Position: OWNER
Credential:
Phone: 407-305-1778