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NPI Code Detail

MEDICARE: THERESA TROMBLY-FREY LMHC

MEDICARE: THERESA TROMBLY-FREY LMHC
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
1101YM0800XMental Health Counselor

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 : 1215274519
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA TROMBLY-FREY LMHC
Provider Business Mailing Address
First Line : 6000 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4615
Country : US
Telephone Number : 407-613-5555
Fax Number :
Provider Business Practice Location Address
First Line : 6000 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4615
Country : US
Telephone Number : 321-276-0374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2013
Last Update Date : 10/01/2024

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