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NPI Code Detail

MEDICARE: DR. VANESSA HARVEY-LENTS DRAD

MEDICARE:  DR. VANESSA  HARVEY-LENTS  DRAD
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
1101YA0400XAddiction (Substance Use Disorder) Counselor120786FL
2103TA0400XAddiction (Substance Use Disorder) PsychologistADC-010572FL
3106H00000XMarriage & Family TherapistIMT 529FL
4405300000XPrevention Professional431FL
5101YA0400XAddiction (Substance Use Disorder) CounselorADC--010572FL

General Provider Information

NPI Number : 1710278189
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VANESSA HARVEY-LENTS DRAD
Provider Business Mailing Address
First Line : 2290 N RONALD REAGAN BLVD STE 116
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-3534
Country : US
Telephone Number : 407-215-0095
Fax Number :
Provider Business Practice Location Address
First Line : 2290 N RONALD REAGAN BLVD STE 116
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-3534
Country : US
Telephone Number : 407-215-0095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2011
Last Update Date : 05/31/2024

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Directions to “ DR. VANESSA HARVEY-LENTS DRAD” Practice Location

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