A GREAT LIFE SERVICES INC (NPI# 1144367418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144367418 |
| Entity Type | Organization |
| Organization Name | A GREAT LIFE SERVICES INC |
| Practice Address |
1150 S Semoran Blvd Ste A Orlando FL 32807-1424 |
| Mailing Address |
15031 Perdido Dr Orlando FL 32828-5216 |
| Practice Telephone | 4077047811 |
| Practice Fax Number | 4073820659 |
| Mailing Telephone | 4077025258 |
| Mailing Fax Number | 4073820659 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | MRS. JANERA ECHEVARRIA (CEO) |
| Authorized Official Telephone | 4077025258 |
| Authorized Official Credential | LMHC, BCABA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LMHC 10628 | FL | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 0-05-1761 | FL | Behavioral Health & Social Service Providers |
| N | 251E00000X | Home Health | P06000053181 | FL | Agencies |
| Y | 251S00000X | Community/Behavioral Health | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 691558296 | 05 | |
| FL | 004774200 | 05 | |
| FL | MEDICAID PERSONAL CARE | 691558202 | 01 |
| FL | MEDICAID AGED/DISABLED ADULTS | 691558201 | 01 |
| Street Address |
1150 S SEMORAN BLVD STE A |
| City | ORLANDO |
| State | FL |
| Zip Code | 32807-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555608 | Alexis Fonville | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2020-10-11 |
| 1518571405 | Cindy Ramirez | Case Manager/Care Coordinator | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2020-09-08 |
| 1982246427 | Norma Ventura | Case Manager/Care Coordinator | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-10-16 |
| 1801446547 | Natasha Reyes | Psychologist | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-09-15 |
| 1174173884 | Johanmarie Vazquez | Psychologist | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-09-14 |
| 1720637812 | Betzaida Garcia | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-09-10 |
| 1033768551 | Jose Luis Torres | Rehabilitation Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-09-06 |
| 1699331090 | Claribar Guerrero | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-05-13 |
| 1326603671 | Sharon Sullivan | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-05-02 |
| 1942864798 | Michael Wise | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-04-26 |
| Find all providers in the same location | ||||
| 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 | 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] |
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| 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.