PRESERVERS OF DESTINIES INC


Address: 1621 E Vine St Ste A, Kissimmee, FL 34744-3730
Phone: 3215253733

PRESERVERS OF DESTINIES INC (NPI# 1659886919) 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) 1659886919
Entity Type Organization
Organization Name PRESERVERS OF DESTINIES INC
Practice Address 1621 E Vine St Ste A
Kissimmee
FL 34744-3730
Mailing Address 2102 Cole Trl
Kissimmee
FL 34743-3720
Practice Telephone 3215253733
Mailing Telephone 4074291144
Enumeration Date 2017-12-08
Last Update Date 2017-12-08
Authorized Official Name MARISOL LUGO (CEO)
Authorized Official Telephone 3215253733
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171M00000X Case Manager/Care Coordinator Other Service Providers
N 225XM0800X Occupational Therapist
Specialization: Mental Health
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 364SP0812X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Community
Physician Assistants & Advanced Practice Nursing Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952793101 Preservers of Destinies Inc Case Management 1621 E Vine St, Kissimmee, FL 34744-3730 2015-02-25

Office Location

Street Address 1621 E VINE ST STE A
City KISSIMMEE
State FL
Zip Code 34744-3730

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1083197941 Marilyn Mendez Behavior Technician 678 Cornestone Dr, Kissimmee, FL 34744 2018-09-07
1255827309 St.cloud Pharmacy&wellness Center Pharmacy St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 2018-07-02
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1548702517 Laura L Wheeler Counselor 600 N Thacker, D63, Kissimmee, FL 34744 2016-11-08
1275992950 Judith Ambrose Case Management 1320 N Main Street, Suite B, Saint Cloud, FL 34744 2016-02-23
1043685258 Oreida Hernandez De Morissette Case Management 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 2015-12-14
1780062232 Martin Alfredo Rosell Hearing Instrument Specialist 806 N Main Street, Kissimmee, FL 34744 2015-05-15
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Taxonomy Information

Taxonomy Code 364SP0812X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Community

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568060242 Azul Community Center Clinical Nurse Specialist 10535 Sw 124th Rd, Miami, FL 33186-3649 2020-10-14
1831739028 Alliance Recovery & Wellness Center LLC Clinical Nurse Specialist 692 N Homestead Blvd, Homestead, FL 33030-6236 2020-01-15

Competitor

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City KISSIMMEE
Zip Code 34744

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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