MANUEL O GOMEZ, MS., LMH,MCAP, CCM,, Mental Health WINTER HAVEN, FL

Contact Information

MANUEL O GOMEZ, MS., LMH,MCAP, CCM,

141 E CENTRAL AVE STE 340
WINTER HAVEN, FL 33880

Phone: 863-412-8711
Fax: 877-340-0107
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health	101YM0800X
Addiction (Substance Use Disorder)	101YA0400X
Case Manager/Care Coordinator	171M00000X
Professional	101YP2500X

Indicates primary specialty

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NPI Profile & details for MANUEL O GOMEZ · (Male)

NPI Number	`1285876409`
Status	Active
Credentials	MS., LMH,MCAP, CCM,
Entity	Individual
Enumeration date	04/02/2009
Last updated	09/27/2018 - About 8 years ago
Sole proprietor ¹	Yes
Identifiers	FL License # 11142 FL License # 131096 FL License # 6158 FL License # 689259179 FL License # ABC010814-215 FL Medicaid 689259179
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MANUEL O GOMEZ, MS., LMH,MCAP, CCM, – NPI #1285876409Mental Health

Contact Information

Specialty

Mental Health

Addiction (Substance Use Disorder)

Case Manager/Care Coordinator

Professional

NPI Profile & details for MANUEL O GOMEZ · (Male)

Reviews for MANUEL O GOMEZ

MANUEL O GOMEZ, MS., LMH,MCAP, CCM, – NPI #1285876409
Mental Health