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NPI Code Detail

MEDICARE: CALLEN PRESSWOOD LCSW PLLC

MEDICARE: CALLEN PRESSWOOD LCSW PLLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164186409
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALLEN PRESSWOOD LCSW PLLC
Provider Business Mailing Address
First Line : 4046 N GOLDENROD RD # 189
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-8911
Country : US
Telephone Number : 321-450-8604
Fax Number : 321-442-0412
Provider Business Practice Location Address
First Line : 1850 LEE RD STE 306
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-2107
Country : US
Telephone Number : 321-450-8604
Fax Number : 321-422-0412
Authorized Official
Title or Position : OWNER & PRIMARY CLINICIAN
Name : CALLEN PRESSWOOD
Credential : LCSW, CCTP
Telephone Number : 321-450-8604
Provider Enumeration Date : 10/22/2021
Last Update Date : 08/13/2024

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