Latino Leadership Behavioral Health | |
4545 Pleasant Hill Rd Ste 101 Kissimmee FL 34759-3400 | |
(407) 895-0801 | |
(407) 895-0803 |
Full Name | Latino Leadership Behavioral Health |
---|---|
Speciality | Community/behavioral Health |
Location | 4545 Pleasant Hill Rd Ste 101, Kissimmee, Florida |
Authorized Official Name and Position | Marucci Guzman (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4078950801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Latino Leadership Behavioral Health 8617 E Colonial Dr Ste 1600 Orlando FL 32817-3937 Ph: (407) 895-0801 | Latino Leadership Behavioral Health 4545 Pleasant Hill Rd Ste 101 Kissimmee FL 34759-3400 Ph: (407) 895-0801 |
NPI Number | 1205596350 |
---|---|
Provider Enumeration Date | 12/29/2021 |
Last Update Date | 03/20/2023 |
Certification Date | 03/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205596350 | NPI | - | NPPES |
HCC13239 | Other | FL | HEALTH CARE CLINIC CERTIFICATE OF EXEMPTION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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