| Outlook Mental Health, Llc | |
|
100 E Sybelia Ave Ste 260 Maitland FL 32751-4709 | |
| (321) 209-2244 | |
| Not Available |
| Full Name | Outlook Mental Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 100 E Sybelia Ave Ste 260, Maitland, Florida |
| Authorized Official Name and Position | Daniel Fisher (OWNER) |
| Authorized Official Contact | 3212092244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outlook Mental Health, Llc 100 E Sybelia Ave Ste 260 Maitland FL 32751-4709 Ph: (321) 209-2244 | Outlook Mental Health, Llc 100 E Sybelia Ave Ste 260 Maitland FL 32751-4709 Ph: (321) 209-2244 |
| NPI Number | 1275250698 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 1951741586 |
|---|---|
| Medicare Enrollment ID | O20240430003168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275250698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Daniel Mason Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659717858 PECOS PAC ID: 2860832490 Enrollment ID: I20240430003462 |
| Provider Name | Pamela Duff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790353092 PECOS PAC ID: 3779924410 Enrollment ID: I20240513003543 |
| Provider Name | Steven Mollura |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174067375 PECOS PAC ID: 5294176699 Enrollment ID: I20240516001882 |
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