SEL MENTAL HEALTH SERVICES, LLC (NPI# 1093142945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093142945 |
| Entity Type | Organization |
| Organization Name | SEL MENTAL HEALTH SERVICES, LLC |
| Practice Address |
4402 Haylock Dr Orlando FL 32807-1010 |
| Practice Telephone | 4077016619 |
| Mailing Telephone | 4077016619 |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-10-07 |
| Authorized Official Name | MRS. EBONY ROBINSON-MIZELL (TARGETED CASE MANAGER) |
| Authorized Official Telephone | 4077016619 |
| Authorized Official Credential | B.S, J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
4402 HAYLOCK DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32807-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063812535 | William Mizell | Social Worker | 4402 Haylock Dr, Orlando, FL 32807-1010 | 2014-09-03 |
| 1487054094 | Ebony Robinson-mizell | Social Worker | 4402 Haylock Dr, Orlando, FL 32807-1010 | 2014-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922668037 | Javier Urshela | Rehabilitation Counselor | 1150 S Semoran Blvd Suite A, Orlando, FL 32807 | 2019-06-20 |
| 1326602087 | Darnell Maurice Avent | Counselor | 7835 Pine Crossing Circle, Apt: 1038, Orlando, FL 32807 | 2019-04-29 |
| 1689185233 | Janea Mark | Technician/Technologist | 2242 Gator Drive, 326, Orlando, FL 32807 | 2017-10-22 |
| 1659813863 | Yaritza Joan Mattei Collado | Speech-Language Pathologist | 1136 Farwell, Orlando, FL 32807 | 2016-11-07 |
| 1316495815 | Grimarie Fernandez | Counselor | 1601 N. Goldenrod Rd. Suite 2, A Great Life, Inc, Orlando, FL 32807 | 2016-09-14 |
| 1922473958 | Adam Brett Lowery | Counselor | 1400 Semoran Blvd, Orlando, FL 32807 | 2015-12-02 |
| 1396115093 | Peterson Jean-baptiste | Counselor | 7835 Pine Crossing Circle, Apt. 1027, Orlando, FL 32807 | 2015-10-07 |
| 1396121380 | Sonia Vega | Case Management | 1601 N. Goldenrod Rd., Orlando, FL 32807 | 2015-08-03 |
| 1386036069 | Guidewell Emergency Medicine Doctors | Clinic/Center | 1706 N Semoran Blvd, Orlando, FL 32807 | 2015-03-04 |
| 1821339276 | Cac- Florida Medical Centers LLC | Clinic/Center | 737 South Semoran Blvd, Orlando, FL 32807 | 2013-03-11 |
| Find all providers in zip 32807 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567551 | Sandra Ivette Rivera Sr. | Case Management | 7315 Kaha St Unit 344, Orlando, FL 32822-5684 | 2020-10-28 |
| 1619596517 | Inteem Health | Case Management | 11977 S Apopka Vineland Rd, Orlando, FL 32836-7025 | 2020-04-10 |
| 1386273555 | Goodlife Support Services, LLC | Case Management | 6917 Narcoossee Rd Ste 728, Orlando, FL 32822-7002 | 2020-04-08 |
| 1104466788 | Angel's Legacy, LLC | Case Management | 777 N Orange Ave Apt 716, Orlando, FL 32801-1188 | 2020-01-10 |
| 1629613559 | Eileen E Fuentes | Case Management | 12714 Moss Park Ridge Dr, Orlando, FL 32832-7086 | 2019-11-14 |
| 1306317557 | Redspot Healthcare Solutions LLC | Case Management | 180 E Landstreet Rd Ste B, Orlando, FL 32824-7862 | 2018-12-16 |
| 1740755529 | Geo Health | Case Management | 12207 Braxted Dr, Orlando, FL 32837-6533 | 2018-10-09 |
| 1366938193 | Arisbeidis Rodriguez | Case Management | 333 Canoe Trail Ln, Orlando, FL 32825-3336 | 2018-07-04 |
| 1942703707 | Mary L. Aviles | Case Management | 6474 Vineland Rd Unit 207, Orlando, FL 32819-7879 | 2018-03-16 |
| 1295236701 | Yacnorev Community Services LLC | Case Management | 750 S Orange Blossom Trl Ste 119, Orlando, FL 32805-3154 | 2018-02-21 |
| 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.