Gano, Genevia M

Gano, Genevia M is an sole proprietor health care provider with primary practice located at 114 W Bay Ave , Longwood FL 32750-4124. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gano, Genevia M can be contacted via phone (321) 422-0829.

Contact Information

Primary practice address
114 W Bay Ave Longwood FL 32750-4124
Phone: (321) 422-0829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1417332149
LBN Legal business name Gano, Genevia M
Credentials DOCTORATE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2015
Last updated Jul 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers