WISE FUTURE GROUP SUPPORT SERVICES, LLC (NPI# 1770181638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770181638 |
| Entity Type | Organization |
| Organization Name | WISE FUTURE GROUP SUPPORT SERVICES, LLC |
| Practice Address |
2307 Greenwillow Dr Orlando FL 32825-7572 |
| Practice Telephone | 4075087374 |
| Mailing Telephone | 4075087374 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | YAZNELLY S RIVERA (CEO) |
| Authorized Official Telephone | 4075087374 |
| Authorized Official Credential | MPA, MSCJ, CBHCM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016554600 | 05 |
| Street Address |
2307 GREENWILLOW DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32825-7572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
| 1649837550 | Jessica Rivera | Social Worker | 10600 Bloomfield Drive, Apt 918, Orlando, FL 32825 | 2019-05-27 |
| 1326526708 | Total Family Care LLC | Family Medicine | 106 North Dean Road, Suite 1, Orlando, FL 32825 | 2018-07-30 |
| 1285121772 | Neurological Health Associates, L.L.C. | Psychiatry & Neurology | 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 | 2018-04-19 |
| 1336636075 | Vijaya Laxmi Telu | Nurse Practitioner | 100 North Dean Rd Suite 101, Orlando, FL 32825 | 2018-04-18 |
| 1740795053 | Anna Louise Morris | Specialist/Technologist | 10719 Fairhaven Way, Orlando, FL 32825 | 2017-12-08 |
| 1568973352 | Darrenn G Cadet | Behavior Technician | 11121 Tortuga Bnd, Orlando, FL 32825 | 2017-10-19 |
| 1265942072 | Raquel B Saliba | Physical Therapist | 250 South Chickasaw Trail, Orlando, FL 32825 | 2017-10-06 |
| 1528585890 | Vreny Tatyana Gonzalez-casas | Behavior Technician | 3206 Mattson Dr, Orlando, FL 32825 | 2017-08-27 |
| 1184147803 | Alexandra Grace Mcmanus | Social Worker | 11258 Point Sylvan Circle, Orlando, FL 32825 | 2017-07-25 |
| Find all providers in zip 32825 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1568071561 | Ogma Community Health LLC | Clinic/Center | 7200 Lake Ellenor Dr Ste 156, Orlando, FL 32809-6200 | 2020-07-24 |
| 1396353934 | Titan Counseling and Behavioral Health, LLC | Clinic/Center | 4806 Vanguard St, Orlando, FL 32819-8519 | 2020-07-20 |
| 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 |
| 1801292594 | Angel Adrian Perez Bermudez | Clinic/Center | 3442 Wilshire Way Rd, Orlando, FL 32829-7354 | 2014-11-07 |
| 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.