MR. GODWIN DEWAYNE WYCHE II


Address: 14644 Kristenright Ln, Orlando, FL 32826-5305
Phone: 9794791538

MR. GODWIN DEWAYNE WYCHE II (NPI# 1780214502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780214502
Entity Type Individual
Full Name MR. GODWIN DEWAYNE WYCHE II
Practice Address 14644 Kristenright Ln
Orlando
FL 32826-5305
Mailing Address 2700 Westhall Ln
Maitland
FL 32751-7203
Practice Telephone 9794791538
Mailing Telephone 8008402528
Enumeration Date 2020-01-21
Last Update Date 2020-01-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 14644 KRISTENRIGHT LN
City ORLANDO
State FL
Zip Code 32826-5305

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City ORLANDO
Zip Code 32826

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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