Abby Wirick
Individual provider Active NPI Mental Health Counselor · Gotha, FL
NPI 1235525189 · NPPES record last updated Apr 7, 2015
Key facts
- NPI
- 1235525189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 9168 Lake Fischer Blvd
Gotha, FL 34734-5201 - Phone
- (407) 415-0222
- NPI assigned
- Apr 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
9168 Lake Fischer Blvd
Gotha, FL 34734-5201
Mailing address
9168 Lake Fischer Blvd
Gotha, FL 34734-5201
Phone (407) 415-0222
Other providers in Gotha, FL
- Gwen Richman
- Christopher Raymond Rotondo
- Seven Sounds Music Therapy LLC
- Mario Pajarillaga Sta Maria Jr.
- Pinky Rallang Sta Maria
All providers in Gotha, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.