EXCELLENT LIFE DESIGN CORPORATION (NPI# 1285976340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285976340 |
| Entity Type | Organization |
| Organization Name | EXCELLENT LIFE DESIGN CORPORATION |
| Practice Address |
1540 International Pkwy Suite 2000 Lake Mary FL 32746-5096 |
| Practice Telephone | 4075365120 |
| Practice Fax Number | 8102220685 |
| Mailing Telephone | 4075365120 |
| Mailing Fax Number | 8102220685 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | RHONDA BAKER (CEO) |
| Authorized Official Telephone | 4075365120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MT2629 | FL | Agencies |
| Street Address |
1540 INTERNATIONAL PKWY SUITE 2000 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-5096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093847485 | Kathy Veon | Acupuncturist | 1540 International Pkwy, #2000, Lake Mary, FL 32746-5096 | 2007-03-12 |
| 1932754561 | Lake Mary Counseling, LLC | Counselor | 1540 International Pkwy, Lake Mary, FL 32746-5096 | 2019-08-09 |
| 1508308164 | Living Water Counseling Center | Point of Service | 1540 International Pkwy, Lake Mary, FL 32746-5096 | 2016-11-14 |
| 1427420298 | Lake Mary Radiology, Pllc | Radiology | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2015-10-20 |
| 1346627650 | Opa Physician Partners, Pllc | Internal Medicine | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2015-05-06 |
| 1851778260 | Florida Radiology & Neurology Associates, Pllc | Radiology | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2015-05-05 |
| 1669865218 | Florida Diagnostic Solutions LLC | Clinic/Center | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2015-03-06 |
| 1497176036 | Helpers In Heels LLC | Respite Care | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2013-12-29 |
| 1336410349 | Phoenix Rising Now Corporation | Community/Behavioral Health | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-4713 | 2012-01-23 |
| 1013288331 | Emily Johnson | Psychologist | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-4713 | 2012-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| 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 |
|---|---|---|---|---|
| 1447693817 | Crescent Therapy and Assessment Services, LLC | Community/Behavioral Health | 160 International Pkwy, Suite 250, Lake Mary, FL 32746-5056 | 2013-04-16 |
| 1851618425 | Seminole Behavior Health | Community/Behavioral Health | 3590 N. Hyw 17-92, 1026, Lake Mary, FL 32746 | 2010-04-22 |
| 1447413562 | Connections Outreach, Inc. | Community/Behavioral Health | 4044 W Lake Mary Blvd # 104-317, Lake Mary, FL 32746-2012 | 2008-07-09 |
| 1043862758 | Luminous Mind Counseling, LLC | Community/Behavioral Health | 1355 S International Pkwy Ste 2471, Lake Mary, FL 32746-1696 | 2019-07-12 |
| 1700381324 | Pathways To Peace, Inc. | Community/Behavioral Health | 200 Waymont Ct Ste 126, Lake Mary, FL 32746-3413 | 2018-03-26 |
| 1982145306 | Foundations In Behavior, LLC | Community/Behavioral Health | 255 Primera Blvd, Suite 160b, Lake Mary, FL 32746-2158 | 2017-03-17 |
| 1659815363 | Family4today Inc | Community/Behavioral Health | 1349 S International Pkwy, Suite 2421, Lake Mary, FL 32746-1697 | 2016-12-14 |
| 1609236330 | Liberty Resources Family Services, Inc. | Community/Behavioral Health | 801 International Pkwy, Lake Mary, FL 32746-4762 | 2016-02-23 |
| 1841669686 | Florida Autism Center | Community/Behavioral Health | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2015-09-23 |
| 1922495720 | Sojourners Recovery & Wellness Center, LLC | Community/Behavioral Health | 1349 S International Pkwy, Suite 2421, Lake Mary, FL 32746-1697 | 2015-04-20 |
| Find all providers in LAKE MARY | ||||
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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.