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Shane Church, LMHC
NPI 1194265405 · on the registry since 2017
Practice
- Address
- 4776 New Broad St Ste 201
Orlando, FL 32814 - Phone
- (833) 769-3524
- Fax
- (407) 219-9624
- Organisation at this address
- Odyssey Healthcare Of Marion County, Llc
Centerwell Health Services (Certified), Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida