KEY OF LIGHT TROUBLED TEEN SERVICES (NPI# 1073977393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073977393 |
| Entity Type | Organization |
| Organization Name | KEY OF LIGHT TROUBLED TEEN SERVICES |
| Practice Address |
10759 Emerald Chase Dr Orlando FL 32836-5876 |
| Mailing Address |
9525 Castleford Pt Orlando FL 32836-5766 |
| Practice Telephone | 8287779428 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | JENNIFER DEL-GIUDICE (OWNER) |
| Authorized Official Telephone | 8287779428 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
10759 EMERALD CHASE DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32836-5876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821487547 | Alissa Hansen | Counselor | 10759 Emerald Chase Dr, Orlando, FL 32836-5876 | 2015-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416969 | Evelyn Yomara Varela | Behavior Technician | 11476 S Apopka Vineland Road, Suite 118, Orlando, FL 32836 | 2018-11-13 |
| 1174098354 | Joshua Arias | Specialist/Technologist | 12500 S Apopka Vineland Road, Lake Buena Vista, FL 32836 | 2018-10-04 |
| 1477045383 | Nelida Ivette Gonzalez | Behavior Technician | Brighter Journeys LLC, 8600 Sand Lake Shores Dr, Orlando, FL 32836 | 2018-06-06 |
| 1578051041 | Paul Woodrow Potier IIi | Chiropractor | Mobile Service, Orlando, FL 32836 | 2018-04-30 |
| 1710437926 | Fraazinc LLC | Podiatrist | 9019 Southern Breeze Drive, Orlando, FL 32836 | 2016-10-12 |
| 1013256700 | Inder Patel | Internal Medicine | 8295 Ludington Cir, Orlando, FL 32836 | 2013-01-31 |
| 1750643334 | Sabrina Sutton | Behavior Technician | 11476 S Apopka Vineland Rd Ste 118, Orlando, FL 32836 | 2012-06-11 |
| 1871863340 | Thu Nguyen | Pharmacist | 8207 Palazzo Ct., Orlando, FL 32836 | 2011-12-30 |
| 1114216074 | Carly J Resnick | Counselor | 8134 Jozee Cir, Orlando, FL 32836 | 2011-03-31 |
| 1093028631 | Pamela Jiselle Blade | Optometrist | 9001 Taborfield Ave., Suite 101, Orlando, FL 32836 | 2010-07-25 |
| Find all providers in zip 32836 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314031 | Pleasant Behavioral Health Systems LLC | Community/Behavioral Health | 7200 Lake Ellenor Dr Ste 200, Orlando, FL 32809-6200 | 2020-10-21 |
| 1942819495 | Oasis Counseling Services | Community/Behavioral Health | 11954 Narcoossee Rd., Ste 2 #278, Orlando, FL 32832 | 2020-07-29 |
| 1770109480 | Victor Felix | Community/Behavioral Health | 8612 Venezia Dr Apt 2312, Orlando, FL 32810-2439 | 2020-06-18 |
| 1558986935 | One Hope United | Community/Behavioral Health | 5749 Westgate Dr Ste 302, Orlando, FL 32835-5040 | 2020-06-11 |
| 1205462041 | Vigor Health Plus II, LLC | Community/Behavioral Health | 3505 Lake Lynda Drive Bldg 300, Ste 200, Orlando, FL 32817-8333 | 2020-03-12 |
| 1235762154 | Complete Behavior Services, LLC | Community/Behavioral Health | 2034 Gamboge Dr, Orlando, FL 32822-8337 | 2020-02-19 |
| 1588214258 | Luc Bitjad | Community/Behavioral Health | 6021 Harcourt Ave, Orlando, FL 32809-4327 | 2019-09-16 |
| 1023668811 | Katartizo Inc | Community/Behavioral Health | 1414 Shady Lane Dr, Orlando, FL 32804-6138 | 2019-09-13 |
| 1760049464 | Right Away Management Services Inc | Community/Behavioral Health | 6750 N Orange Blossom Trl Ste B3, Orlando, FL 32810-4082 | 2019-05-29 |
| 1003472325 | Zuleishka Barreto | Community/Behavioral Health | 1765 Grand Pt Blvd, Orlando, FL 32839-5801 | 2019-05-13 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.