Emergen, Inc.
Mental Health Counselor in Winter Park, FL(View on Map)
Legal Business Name
Emergen, Inc.
NPI Number
1699176842
NPI Type
Organization
Enumeration Date
09/08/2014
Specialties
(Taxonomies)Name
Code
101YM0800X
101YA0400X
103K00000X
101Y00000X
101YP2500X
Primary Taxonomy
Yes
No
No
No
No
Licenses
State
Florida
License Number
5896
Contact
Information
Purpose
Mailing
Location
Address
30 CHANEY CT
2431 ALOMA AVE
City
Casselberry
Winter Park
State
FL
FL
Postal Code
32707-4531
32792-2541
Country
US
US
Telephone Number
N/A
(407) 739-7603
Authorized Official
Name
Mr. Cedric Maddox
Title or Position
CEO
Telephone Number
(407) 739-7603
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/25/2014
Provider Address
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Alternative Directions
May also be known as Sherry S. Mattos
Winter Park, FLSpecialty: Mental Health Counselor (Primary)