Grace, Gilda

Grace, Gilda is an individual health care provider with primary practice located at 1110 Douglas Ave Ste 3040, Altamonte Springs FL 32714-2060. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Grace, Gilda can be contacted via phone (407) 644-2000.

Contact Information

Primary practice address
1110 Douglas Ave Ste 3040 Altamonte Springs FL 32714-2060
Phone: (407) 644-2000
Fax: (407) 644-3484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH3446 Florida

Profile Details

NPI number 1265437826
LBN Legal business name Grace, Gilda
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265437826 NPPES
Florida Other Z6108 BLUE CROSS BLUE SHIELD

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