ANNIE-GRACE MARIA FUNDERBURG
NPI 1184134116
Counselor - Mental Health in Orlando, FL
Active since October 04, 2017
About Annie-grace Maria Funderburg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNIE-GRACE MARIA FUNDERBURG (NPI 1184134116) is an individual mental health provider in Orlando, Florida and active in the NPI registry since October 2017.
NPPES Registry Identity
NPI1184134116
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANNIE-GRACE MARIA FUNDERBURG
Location Address1800 MERCY DROrlando, FL 32808-5646
Mailing Address1800 Mercy DrOrlando, FL 32808-5646 · (407) 875-3700 · Fax (407) 659-0411
Phone(407) 875-3700
Fax(407) 659-0411
Sole ProprietorNo
Enumeration DateOctober 4, 2017
✔ NPI 1184134116 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1800 MERCY DR, Orlando, FL 32808
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
1800 MERCY DR
ORLANDO, FL 32808
ORLANDO, FL 32808
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1800 MERCY DR, SUITE 302
ORLANDO, FL 32808
ORLANDO, FL 32808
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184134116, enumerated as an "individual" on October 04, 2017.
The provider is located at 1800 MERCY DR ORLANDO, FL 32808 and the phone number is (407) 875-3700.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.