SHANE CHURCH


Address: 3200 W Colonial Dr, Orlando, FL 32808-8023
Phone: 4078753700

SHANE CHURCH (NPI# 1194265405) 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) 1194265405
Entity Type Individual
Full Name SHANE CHURCH
Credential B.A.
Practice Address 3200 W Colonial Dr
Orlando
FL 32808-8023
Practice Telephone 4078753700
Enumeration Date 2017-03-06
Last Update Date 2017-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 3200 W COLONIAL DR
City ORLANDO
State FL
Zip Code 32808-8023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598164451 Onsite Medical Group LLC Specialist 3200 W Colonial Dr, Orlando, FL 32808-8023 2014-08-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902403082 Ikeshia K Herbert Home Health 2048 Mercy Drive Apt 302, Orlando, FL 32808 2020-10-02
1811522691 Lorraine Viviene Bromfield Alleyne In Home Supportive Care 3536 Pine Ridge Court, Orlando, FL 32808 2020-03-11
1750913760 2 God B Thy Glory 4 Healing Angels Respite Care 5553 #1 Springhill Dr, Orlando, FL 32808 2020-02-07
1720620537 Tamara Jefferson Occupational Therapist 5164 Clarion Oaks Drive, Orlando, FL 32808 2019-10-14
1750851341 Gladys Joseph Nurse's Aide 805 Terry Lynn Drive, Orlando, FL 32808 2018-11-27
1720566110 Circle of Friends Assisted Living Facility Assisted Living Facility 3708 Meadow Brook Ave, Orlando, FL 32808 2018-07-30
1407342322 Camha P Nguyen Dentist 2619 Greenfield Ave, Orlando, FL 32808 2018-07-03
1568964039 Keep A Kid On Track Counselor 623 Pine Hill Road, Orlando, FL 32808 2018-03-01
1629507074 Janelle Manning Nurse's Aide 5030 Rosamond Drive, Apt 2712, Orlando, FL 32808 2017-06-08
1770018137 Andrew Owen Chiropractor 822 Mercy Dr, Orlando, FL 32808 2017-04-24
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407457161 Jenna Grace Mallek Campos Counselor 13626 Phoenix Dr, Orlando, FL 32828-9338 2020-11-07
1295336089 Resilience Behavioral Health LLC Counselor 3211 Calumet Dr, Orlando, FL 32810-2023 2020-11-06
1972103992 Nadine Ferguson Counselor 5932 Folkstone Ln, Orlando, FL 32822-9417 2020-10-28
1386242592 Orialis Sosa Counselor 1613 Park Lake St, Orlando, FL 32803-4154 2020-10-12
1710584057 Megan E Hunt Counselor 1701 Park Center Dr Ste 202, Orlando, FL 32835-6235 2020-10-08
1134726094 Jeffrey Harris Counselor 2568 Woodgate Blvd Apt 203, Orlando, FL 32822-5881 2020-10-05
1568069540 Ask Schellie Consulting, LLC Counselor 2036 36th St, Orlando, FL 32839-8810 2020-10-03
1992319883 Taleasha Lintayvia Washington Counselor 2012 Cabo San Lucas Dr Apt 208, Orlando, FL 32839-8435 2020-09-08
1053925297 Morgan Mckee Counselor 1510 Lake Baldwin Ln Apt B, Orlando, FL 32814-6676 2020-09-04
1104437854 Eliana Rina Gershon Counselor 6203 Steach Dr, Orlando, FL 32808-5436 2020-08-14
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Competitor

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City ORLANDO
Zip Code 32808

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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