AMERICAN HEALTHCARE COMMUNITY BEHAVIORAL SERVICES LLC (NPI# 1710332671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710332671 |
| Entity Type | Organization |
| Organization Name | AMERICAN HEALTHCARE COMMUNITY BEHAVIORAL SERVICES LLC |
| Other Organization Name | AMERICAN HEALTHCARE |
| Practice Address |
1203 Florida Ave. St. Cloud FL 34769 |
| Practice Telephone | 4075931062 |
| Practice Fax Number | 4072777622 |
| Mailing Telephone | 4075931062 |
| Mailing Fax Number | 4072777622 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2017-12-27 |
| Authorized Official Name | MR. DALE A. ZIGLEAR (OWNER/CEO) |
| Authorized Official Telephone | 3212284134 |
| Authorized Official Credential | MT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | CCMS100378-AC | FL | Behavioral Health & Social Service Providers |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MT2452 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015614700 | 05 |
| Other Name | Type Code |
|---|---|
| American Healthcare | Doing Business As Name - Organization |
| Street Address |
1203 FLORIDA AVE. |
| City | ST. CLOUD |
| State | FL |
| Zip Code | 34769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| 1386055952 | Central Florida Infectious Disease Consultants Inc | Internal Medicine | 1600 Budlinger Ave # A, St Cloud, FL 34769 | 2014-05-16 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1265710875 | Diane Patricia Hiles | Counselor | 911 18th St. N., St. Cloud, MN 56302-2390 | 2011-07-31 |
| 1295122067 | Janice Mary Wilde | Counselor | 529 16th Ave N, St. Cloud, MN 56303 | 2015-04-20 |
| 1194049023 | Deborah Ellen Neitzke | Counselor | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2010-03-22 |
| 1811049182 | Ernesto D. Maisonet-soler | Counselor | 3201 Budinger Ave, St. Cloud, FL 34739 | 2007-01-17 |
| 1326097783 | Sandra Lee Andreasen | Counselor | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2006-05-10 |
| 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 |
| 1538760392 | Darcy Lynn Coleman | Counselor | 325 Se 28th Ter, Cape Coral, FL 33904-3416 | 2020-11-06 |
| 1407457203 | Marylon Larkins | Counselor | 1525 W Broadway St, Oviedo, FL 32765-6576 | 2020-11-06 |
| 1639770423 | Nickole Marguerite Wyse | Counselor | 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 | 2020-11-06 |
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1326649435 | Taylor Shannon Wolfe | Counselor | 8312 Catria Ln, Lake Worth, FL 33467-6706 | 2020-11-04 |
| 1427659630 | Sherrie Wade | Counselor | 260 Ne Wavecrest Way, Boca Raton, FL 33432-4220 | 2020-11-04 |
| 1396346656 | Ariel K Heyliger St. Fleur | Counselor | 9104 Nw 39th St, Coral Springs, FL 33065-2421 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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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.