THE GROVE COUNSELING CENTER INC (NPI# 1780614826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780614826 |
| Entity Type | Organization |
| Organization Name | THE GROVE COUNSELING CENTER INC |
| Practice Address |
111 W Magnolia Ave Longwood FL 32750-4130 |
| Practice Telephone | 4073271765 |
| Practice Fax Number | 4073392129 |
| Mailing Telephone | 4073271765 |
| Mailing Fax Number | 4073392129 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-01-07 |
| Authorized Official Name | MR. LARRY A BIRCH (PRESIDENT) |
| Authorized Official Telephone | 4073271765 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AMERIGROUP # | 216457 | 01 |
| FL | CIGNA PROVIDER # | 44248 | 01 |
| FL | 0295965 | 05 | |
| FL | VALUE OPTIONS # | 122945 | 01 |
| FL | BLUE CROSS BLUE SHIELD | S2A | 01 |
| FL | HARMONY HEALTH | 208983 | 01 |
| FL | MHN, INC. | 331964 | 01 |
| Street Address |
111 W MAGNOLIA AVE |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-4130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950974 | Suemi Oliveira | Nurse Practitioner | 111 W Magnolia Ave, Longwood, FL 32750-4130 | 2019-03-07 |
| 1649742495 | Kimberly Coleman | Case Management | 111 W Magnolia Ave, Longwood, FL 32750-4130 | 2018-12-18 |
| 1710466768 | Christina White | Counselor | 111 W Magnolia Ave, Longwood, FL 32750-4130 | 2018-08-10 |
| 1184103442 | Jamila B Hodge | Counselor | 111 W Magnolia Ave, Longwood, FL 32750-4130 | 2018-08-08 |
| 1598244857 | Noemi Baransky | Counselor | 111 W Magnolia Ave, Longwood, FL 32750-4130 | 2018-08-08 |
| 1083192082 | Julie Langton | Social Worker | 111 W Magnolia Ave, Longwood, FL 32750-4130 | 2018-08-01 |
| 1790276350 | Katherine Bruce | Case Manager/Care Coordinator | 111 W Magnolia Ave, Longwood, FL 32750-4130 | 2018-05-19 |
| 1093220949 | Janessa Liscette Henry | Counselor | 111 W Magnolia Ave, Longwood, FL 32750 | 2017-12-13 |
| 1427562024 | Nialet Alvira | Counselor | 111 W Magnolia Ave, Longwood, FL 32750-4130 | 2017-11-20 |
| 1225540750 | Elaina Gray | Counselor | 111 W Magnolia Ave, Longwood, FL 32750-4130 | 2017-10-24 |
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|---|---|---|---|---|
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| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
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| 1619371531 | Carolina Botero | Substance Abuse Rehabilitation Facility | 169 E Flagler St Suite 1300, Miami, FL 33131 | 2014-10-21 |
| 1497166292 | Saved By Grace | Substance Abuse Rehabilitation Facility | 245 S Swinton Ave, Delray Beach, FL 33444-3657 | 2014-05-14 |
| 1346680733 | Singer Island Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 4400 N Congress Ave, Suite 101, West Palm Beach, FL 33407 | 2013-06-28 |
| 1326485475 | Shores Treatment and Recovery Service LLC | Substance Abuse Rehabilitation Facility | 8493 S Us Highway 1, Unit 14, Port St Lucie, FL 34952-3360 | 2013-05-30 |
| 1740572239 | Medi-bill Plus Inc. | Substance Abuse Rehabilitation Facility | 2040 Nw 28th St, Oakland Park, FL 33311-2116 | 2011-05-03 |
| 1265751762 | St Johns Youth Academy | Substance Abuse Rehabilitation Facility | 4500 Avenue D, St Augustine, FL 32095-5245 | 2010-05-24 |
| 1336478304 | Sequel Tsi of Florida, LLC Marion Program | Substance Abuse Rehabilitation Facility | 10420 Nw Gainesville Rd, Ocala, FL 34482-1446 | 2009-12-21 |
| 1912235870 | Sequel Tsi of Florida, LLC Union Program | Substance Abuse Rehabilitation Facility | 14692 Ne County Road 199, Raiford, FL 32083-2519 | 2009-12-03 |
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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.