IndividualActive
Austen Park
NPI 1649998725 · Mental Health Counselor · Windermere, FL
Provider details
- NPI number
- 1649998725
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
11468 Willow Gardens Dr
Windermere, FL 34786-6015
Phone: (407) 883-1282
Approximate (ZIP-level) locationGet directions
Mailing address
11468 Willow Gardens Dr
Windermere, FL 34786-6015
Registry dates
- Enumerated
- 2022-08-16
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.