Bodhi Tree Therapeutic Services - Mental Health Clinic in Orlando, FL

Bodhi Tree Therapeutic Services is a mental health clinic (Clinic/center - Adult Mental Health) in Orlando, Florida. The current practice location for Bodhi Tree Therapeutic Services is 5512 Fairfax St, Orlando, Florida. For appointments, you can reach them via phone at (202) 374-0573. The mailing address for Bodhi Tree Therapeutic Services is 5512 Fairfax St, Orlando, Florida and phone number is (202) 374-0573.

Bodhi Tree Therapeutic Services is licensed to practice in * (Not Available) (license number ) and its NPI number is 1134855869. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (202) 374-0573.

Contact Information

Bodhi Tree Therapeutic Services
5512 Fairfax St
Orlando
FL 32812-7732
(202) 374-0573
Not Available

Mental Health Clinic Profile

Full NameBodhi Tree Therapeutic Services
SpecialityClinic/center - Adult Mental Health
Location5512 Fairfax St, Orlando, Florida
Authorized Official Name and PositionShakira Vasquez Moscoso (OWNER)
Authorized Official Contact2023740573
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bodhi Tree Therapeutic Services
5512 Fairfax St
Orlando
FL 32812-7732

Ph: (202) 374-0573
Bodhi Tree Therapeutic Services
5512 Fairfax St
Orlando
FL 32812-7732

Ph: (202) 374-0573

NPI Details:

NPI Number1134855869
Provider Enumeration Date07/26/2022
Last Update Date07/26/2022
Certification Date07/26/2022

Medical Identifiers

Medical identifiers for Bodhi Tree Therapeutic Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134855869NPI-NPPES
MH17846OtherFLLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Primary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Secondary

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› Verified 8 days ago

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