BROKEN WING'S MINISTRY INC.


Address: 11723 Barletta Dr, Orlando, FL 32827-7166
Phone: 3217013064

BROKEN WING'S MINISTRY INC. (NPI# 1669985057) 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) 1669985057
Entity Type Organization
Organization Name BROKEN WING'S MINISTRY INC.
Practice Address 11723 Barletta Dr
Orlando
FL 32827-7166
Practice Telephone 3217013064
Enumeration Date 2017-11-08
Last Update Date 2017-11-08
Authorized Official Name TAMMY M CARVALHO (PRESIDENT)
Authorized Official Telephone 3217013064
Authorized Official Credential MA, LMHC, NCC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 11723 BARLETTA DR
City ORLANDO
State FL
Zip Code 32827-7166

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City ORLANDO
Zip Code 32827

Improve Information

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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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