INNER AWAKENING THERAPY CENTER LLC


Address: 220 Palmetto Ave, Orlando, FL 32801-1801
Phone: 4079068633

INNER AWAKENING THERAPY CENTER LLC (NPI# 1205325297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205325297
Entity Type Organization
Organization Name INNER AWAKENING THERAPY CENTER LLC
Practice Address 220 Palmetto Ave
Orlando
FL 32801-1801
Mailing Address 1973 Longwood Lake Mary Rd Ste 1001
Longwood
FL 32750-4672
Practice Telephone 4079068633
Mailing Telephone 4079068633
Enumeration Date 2018-05-04
Last Update Date 2020-01-22
Authorized Official Name ADEL M CEBALLOS-ROSARIO (OWNER)
Authorized Official Telephone 4079068633
Authorized Official Credential LMHC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
MH14780 FL Ambulatory Health Care Facilities

Office Location

Street Address 220 PALMETTO AVE
City ORLANDO
State FL
Zip Code 32801-1801

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1851800874 Michael Smith Physician Assistant 11 South Osceola Ave, Apt 3102, Orlando, FL 32801 2017-09-21
1578082863 Merito Mifo B. Sabangan Physical Therapist 1201 Noble Place, Orlando, FL 32801 2017-09-18
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1245856061 We Care Support Services Clinic/Center 1601 Park Center Dr Ste 12, Orlando, FL 32835-5700 2020-06-17
1659835403 Dynamic Mindset LLC Clinic/Center 6100 Lake Ellenor Drive, Suite 151, Orlando, FL 32809-4632 2019-01-25
1043781651 Meilyn Claudio Pinero Clinic/Center 6515 Yucatan Dr, Orlando, FL 32807-4964 2018-12-07
1851888408 Eloise Stiglitz Phd LLC Clinic/Center 1121 Webster Ave, Orlando, FL 32804-2852 2018-04-19
1275038416 Inner Growth Counseling LLC Clinic/Center 13574 Village Park Dr Ste 240, Orlando, FL 32837-7695 2018-03-29
1053706879 Community Initiatives, Inc. Clinic/Center 4001 Pelee St, Orlando, FL 32817-3100 2015-03-30
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Competitor

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City ORLANDO
Zip Code 32801

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Dataset Information

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.

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