Visionary Vanguard Group

NPI #1780931469 in Clermont, Florida

Provider Information

NPI Number: 1780931469
Entity Type: Organization
Organization Name: Visionary Vanguard Group
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 13, 2012
Last Updated: Aug 13, 2012

Practice Location

Address: 1200 OAKLEY SEAVER DR
Address 2: SUITE 203
City: Clermont
State: Florida
ZIP Code: 34711-1958
Phone: (407) 314-5373

Authorized Official

Name: DR. STEPHAN E. BROWN, PHD, LMHC, NCC, BCAB
Title: PRESIDENT & CEO
Phone: (407) 497-0327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Behavior Analyst	103K00000X

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