SAMUEL PIERRELOUIS (NPI# 1487105227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487105227 |
Entity Type | Individual |
Full Name | SAMUEL PIERRELOUIS |
Practice Address |
3708 Conway Rd Orlando FL 32812-7608 |
Mailing Address |
Po Box 617474 Orlando FL 32861-7474 |
Practice Telephone | 3102922830 |
Mailing Telephone | 3102922830 |
Enumeration Date | 2016-10-17 |
Last Update Date | 2016-10-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 2632 | FL | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 004840900 | 05 |
Street Address |
3708 CONWAY RD |
City | ORLANDO |
State | FL |
Zip Code | 32812-7608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558713206 | Natasha Smith | Behavioral Analyst | 3708 Conway Rd, Orlando, FL 32812-7608 | 2016-07-06 |
1215410980 | Britany Balch | Behavior Technician | 3708 Conway Rd, Orlando, FL 32812-7608 | 2018-09-10 |
1891285573 | Felix Alvarez-virola | Behavior Technician | 3708 Conway Rd, Orlando, FL 32812-7608 | 2018-05-17 |
1730682105 | Cori-anne Bonfilio | Behavior Technician | 3708 Conway Rd, Orlando, FL 32812-7608 | 2018-03-13 |
1700387289 | Nicholas Gopaul | Behavior Technician | 3708 Conway Rd, Orlando, FL 32812-7608 | 2018-02-21 |
1548777063 | Maria Angelica Colmenares | Community Health Worker | 3708 Conway Rd, Orlando, FL 32812-7608 | 2018-01-05 |
1356870125 | Rachel Duester | Behavioral Analyst | 3708 Conway Rd, Orlando, FL 32812-7608 | 2017-06-06 |
1528591294 | Joseph Quebe | Behavioral Analyst | 3708 Conway Rd, Orlando, FL 32812-7608 | 2017-04-09 |
1952841090 | Franklin Mark Koontz | Behavioral Analyst | 3708 Conway Rd, Orlando, FL 32812-7608 | 2017-03-07 |
1609315118 | Jenny Puzino | Behavioral Analyst | 3708 Conway Rd, Orlando, FL 32812-7608 | 2017-02-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
1750843405 | Heather Louise Anderson | Physician Assistant | 5422 Lewiston St, Orlando, FL 32812 | 2019-04-02 |
1437666955 | Martika Haggerty | Community Health Worker | 3708 South Conway Road, Orlando, FL 32812 | 2018-01-05 |
1407370737 | Mary Brooks | Nurse Practitioner | 3788 Gatlin Place Circle, Orlando, FL 32812 | 2017-07-28 |
1730602012 | Kimberly S Arenburg | Licensed Practical Nurse | 2452 S. Conway Rd, Apt 337, Orlando, FL 32812 | 2017-07-19 |
1710409388 | Deborah Larson Catron | Massage Therapist | 4848 Berrywood Drive, Orlando, FL 32812 | 2017-07-14 |
1689108268 | Royal Transportation Group LLC | Taxi | 3835 Mccoy Road, Orlando, FL 32812 | 2017-04-20 |
1205289980 | Yania Bradshaw | Behavioral Analyst | 5212 Lake Margaret Dr., Apt 1210, Orlando, FL 32812 | 2016-07-19 |
1730552548 | Sarah Jean Pommier | Counselor | 5120 Louvre Ave, Belle Isle, FL 32812 | 2015-11-03 |
1528459336 | Minh Ethan Duc Dang | Physician Assistant | 5058 South Conway Rd, Orlando, FL 32812 | 2015-02-16 |
Find all providers in zip 32812 |
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.