NPI 1215345327 · live from the CMS NPI Registry
1 Village 1 Child
Community/Behavioral Health in Apopka, FL. National Provider Identifier 1215345327, active.
NPI record
| NPI | 1215345327 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 1257 Reagans Reserve Blvd, Apopka, FL 32712 |
| Practice phone | 321-209-3259 |
| Mailing address | Po Box 308, Gotha, FL 34734 |
| Enumerated | August 1, 2014 |
| Last updated | February 5, 2015 |
| Authorized official | Keith Daly, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist | 103T00000X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — |
| Psychologist, Family | 103TF0000X | — |
| Psychologist, Group Psychotherapy | 103TP2701X | — |
| Social Worker | 104100000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Poetry Therapist | 102X00000X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.