FAMILY LIFE SERVICES MINISTRIES & COUNSELING, INC (NPI# 1093148306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093148306 |
| Entity Type | Organization |
| Organization Name | FAMILY LIFE SERVICES MINISTRIES & COUNSELING, INC |
| Practice Address |
721 Oak Commons Blvd Ste A Kissimmee FL 34741-4186 |
| Practice Telephone | 4075189505 |
| Practice Fax Number | 4075189507 |
| Mailing Telephone | 4075189505 |
| Mailing Fax Number | 4075189507 |
| Enumeration Date | 2013-08-10 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MRS. ALICIA LASALLE HENINGBURG (DIRECTOR) |
| Authorized Official Telephone | 4075189505 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | FL | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | FL | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 N Central Ave, Suite 212, Kissimmee, FL 347414450 | 4075189505 | 4075189507 |
| Street Address |
721 OAK COMMONS BLVD STE A |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-4186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972851657 | Alicia L Heningburg | Counselor | 721 Oak Commons Blvd Ste A, Kissimmee, FL 34741-4186 | 2012-08-28 |
| 1164936340 | Darice Marie Santos | Counselor | 721 Oak Commons Blvd Ste A, Kissimmee, FL 34741-4186 | 2017-11-26 |
| 1760830640 | Family Life Services Ministries & Tcm, Inc. | Case Management | 721 Oak Commons Blvd Ste A, Kissimmee, FL 34741-4186 | 2016-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| 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 |
|---|---|---|---|---|
| 1336747724 | Yosselin Torres Reyes | Community/Behavioral Health | 3208 Hillsdale Ln, Kissimmee, FL 34741-7562 | 2020-10-16 |
| 1982225595 | Positive Mindset Group LLC | Community/Behavioral Health | 109 N Beaumont Ave, Kissimmee, FL 34741-5120 | 2020-05-05 |
| 1972065142 | Eleos Family Services, LLC | Community/Behavioral Health | 3854 Carrick Bend Dr, Kissimmee, FL 34746-2974 | 2019-04-04 |
| 1831662170 | Carmen Elicier | Community/Behavioral Health | 703 Tahiti Dr, Kissimmee, FL 34758-4311 | 2019-01-09 |
| 1801369707 | Luisa Josefina Lugo Gomez | Community/Behavioral Health | 3006 Marta Cir Apt 102, Kissimmee, FL 34741-0745 | 2019-01-03 |
| 1275068389 | Elsa V. Garcia | Community/Behavioral Health | 307 Colony Ct, Kissimmee, FL 34758-3039 | 2017-04-26 |
| 1932650058 | Concord Counseling Center LLC | Community/Behavioral Health | 897 Towne Center Dr, Suite 101, Kissimmee, FL 34759-3469 | 2016-10-24 |
| 1487024204 | Marilyn Negron Associates LLC | Community/Behavioral Health | 202 Palmwood Ct, Kissimmee, FL 34743-8609 | 2015-10-06 |
| 1972994812 | Behavioral Support Services | Community/Behavioral Health | 2495 Huron Cir, Kissimmee, FL 34746-3443 | 2015-02-13 |
| 1235527789 | A Boundless Care Inc | Community/Behavioral Health | 3501 W Vine St Ste 115, Kissimmee, FL 34741-4644 | 2015-01-07 |
| Find all providers in KISSIMMEE | ||||
Please comment or provide details below to improve the information on FAMILY LIFE SERVICES MINISTRIES & COUNSELING, INC.
| 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.