FLORIDA MENTOR (NPI# 1487039848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487039848 |
| Entity Type | Organization |
| Organization Name | FLORIDA MENTOR |
| Practice Address |
5304 S Florida Ave Ste 206 Lakeland FL 33813-4918 |
| Mailing Address |
536 Majestic Gardens Blvd Winter Haven FL 33880-5736 |
| Practice Telephone | 8636774026 |
| Mailing Telephone | 8636774026 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | MRS. KENUATED LYNN CLARKE (PROGRAM THERAPIST) |
| Authorized Official Telephone | 8636774026 |
| Authorized Official Credential | MA, RMHCI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134285141 | Florida Mentor | Day Training, Developmentally Disabled Services | 1725 5th Street, Daytona Beach, FL 32117-5107 | 2006-12-28 |
| 1982886685 | Florida Mentor | Community/Behavioral Health | 2055 Wood St, Suite 118, Sarasota, FL 34237-7903 | 2007-12-04 |
| 1417003310 | Florida Mentor | Community/Behavioral Health | 3200 Sw 34th Ave, Bldg. 200 Suite 203, Ocala, FL 34474-7456 | 2007-01-25 |
| Street Address |
5304 S FLORIDA AVE STE 206 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| 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 |
|---|---|---|---|---|
| 1205495108 | Fulfilling Endeavors Incorporated | Community/Behavioral Health | 4927 Southfork Dr, Lakeland, FL 33813-2043 | 2019-06-13 |
| 1275013542 | Beautiful Mind Behavioral Services, Corp. | Community/Behavioral Health | 1137 Bartow Rd Ste A, Lakeland, FL 33801-5828 | 2018-08-16 |
| 1154824266 | Counsel With Kim LLC | Community/Behavioral Health | 1543 Lakeland Hills Blvd Ste 7, Lakeland, FL 33805-3246 | 2018-03-14 |
| 1144730003 | Seeking Therapy and Reaching for Success Counseling Servces | Community/Behavioral Health | 5475 Wilmington Cir Apt 209, Lakeland, FL 33813-2764 | 2017-10-05 |
| 1255841326 | Sunrise Outreach Services | Community/Behavioral Health | 304 E Pine St # 89, Lakeland, FL 33801-4969 | 2017-10-03 |
| 1669829925 | Reaching Higher Heights, LLC | Community/Behavioral Health | 1102 S Florida Ave Ste 100a, Lakeland, FL 33803-1308 | 2016-05-17 |
| 1851765580 | Heads | Community/Behavioral Health | 3244 Merlot Dr, Lakeland, FL 33811-1810 | 2015-11-18 |
| 1518344332 | Mr. Ed's Family & Education Intervention Services, Inc. | Community/Behavioral Health | 231 N Tennessee Ave Ste 300, Lakeland, FL 33801-4970 | 2015-04-30 |
| 1235520248 | Robinson-kyles Counseling and Testing Services, LLC | Community/Behavioral Health | 505 Martin L King Jr Ave Ste 1, Lakeland, FL 33815-1527 | 2015-02-12 |
| 1972945087 | Lifecare of Lakeland, LLC | Community/Behavioral Health | 625 Schoolhouse Rd, Suite 2, Lakeland, FL 33813-2615 | 2013-07-18 |
| Find all providers in LAKELAND | ||||
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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.