MEDICARE: METELL BEHAVIORAL HEALTH

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1750213930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METELL BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	2020 W FAIRBANKS AVE STE 203
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4547
Country	:	US
Telephone Number	:	407-379-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 W FAIRBANKS AVE STE 203
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4547
Country	:	US
Telephone Number	:	407-379-2800
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. CHARLES METELLUS
Credential	:	LCSW
Telephone Number	:	407-379-2800

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “METELL BEHAVIORAL HEALTH ” Practice Location

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