Three Twelve LLC
NPI #1699668863 in Windermere, Florida
Provider Information
- NPI Number
- 1699668863
- Entity Type
- Organization
- Organization Name
- Three Twelve LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- May 29, 2025
- Last Updated
- May 29, 2025
Practice Location
- Address
- 5057 CARILLON LN
- City
- Windermere
- State
- Florida
- ZIP Code
- 34786-3117
- Phone
- (515) 509-5670
Authorized Official
- Name
- DR. CHRISTIAN LANCE WIMMER, PHD
- Title
- OWNER
- Phone
- (515) 509-5670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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