CAMELOT COMMUNITY CARE INC (NPI# 1912159997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912159997 |
| Entity Type | Organization |
| Organization Name | CAMELOT COMMUNITY CARE INC |
| Practice Address |
820 E Park Ave Bldg A Tallahassee FL 32301-2610 |
| Practice Telephone | 8505618060 |
| Practice Fax Number | 8505611143 |
| Mailing Telephone | 8505618060 |
| Mailing Fax Number | 8505611143 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |
| Authorized Official Name | KERRA WINDSOR (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8505618060 |
| Authorized Official Credential | MSW |
| 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 |
|---|---|---|---|---|
| 1952768681 | Camelot Community Care Inc | Community/Behavioral Health | 5225 Office Park Blvd, Bradenton, FL 34203-3440 | 2016-01-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Camelot Community Care Inc. | 4910-D Creekside Drive, Clearwater, Florida 33760 |
| Street Address |
820 E PARK AVE BLDG A |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32301-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689713059 | Devona Vickers Pickle | Counselor | 820 E Park Ave, Building A, Tallahassee, FL 32301-2610 | 2007-02-05 |
| 1891921870 | Life Solutions, LLC | Community/Behavioral Health | 820 E Park Ave, Ste E-100, Tallahassee, FL 32301-2610 | 2009-06-04 |
| 1821242041 | Melanie Harrington | Massage Therapist | 820 E Park Ave, Suite C, Tallahassee, FL 32301-2610 | 2008-11-14 |
| 1497901326 | Amanda Michelle Bowman | Massage Therapist | 820 E Park Ave, Suite C, Tallahassee, FL 32301-2610 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386092 | Rebecca Klein | Behavior Technician | 2331 Hansen Court Tallahassee, Fl 32301, Tallahassee, FL 32301 | 2020-11-03 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1457967093 | Tahlah Austin | Behavior Technician | 113 South Monroe Street 1st Floor, Tallahassee, FL 32301 | 2020-09-18 |
| 1972133288 | Mary Lyn Norman | Marriage & Family Therapist | 119 Cadiz Street, #107, Tallahassee, FL 32301 | 2020-01-26 |
| 1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
| 1629635560 | Lily Ramey | Behavior Technician | 3010 Highland Oaks Ter, Tallahassee, FL 32301 | 2019-05-27 |
| 1861981052 | Mission of Hope of Tall Inc | Nurse's Aide | 1541 Glenway Dr, Tallahassee, FL 32301 | 2018-05-03 |
| 1770084824 | Bond Community Health Center, Inc. | Family Medicine | 2200 South Monroe, Tallahassee, FL 32301 | 2018-02-23 |
| 1356849236 | Amanda Mcglone | Developmental Therapist | 3010 Highland Oaks Terr, Tallahassee, FL 32301 | 2018-01-25 |
| Find all providers in zip 32301 | ||||
| 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 |
|---|---|---|---|---|
| 1275096166 | Disc Village, Inc. | Community/Behavioral Health | 2814 Twelve Step Way, Tallahassee, FL 32305 | 2019-04-09 |
| 1225520687 | Disc Village, Inc. | Community/Behavioral Health | 1000 W Tharpe St Ste 17, Tallahassee, FL 32303-5311 | 2018-06-01 |
| 1477041028 | Pediatric Aba 3 Inc | Community/Behavioral Health | 3011 Powell Rd Ste 3a, Tallahassee, FL 32308-6230 | 2018-04-30 |
| 1972957918 | David Steingart Counseling LLC | Community/Behavioral Health | 1682 Metropolitan Cir, Tallahassee, FL 32308-7752 | 2016-04-15 |
| 1982079091 | Ieisha Farrell | Community/Behavioral Health | 708 Pointe Ct Apt A, Tallahassee, FL 32308-6170 | 2015-12-01 |
| 1659743235 | Psychological Center | Community/Behavioral Health | 8819 Minnow Creek Dr, Tallahassee, FL 32312 | 2015-10-22 |
| 1225418387 | Robert Osborne | Community/Behavioral Health | 2408 Ionic Ct, Tallahassee, FL 32303-3516 | 2015-06-04 |
| 1174964050 | Peterkins Mental Health & Substance Abuse Services, Inc. | Community/Behavioral Health | 2444 Nugget Ln, Tallahassee, FL 32303-3726 | 2013-07-08 |
| 1750726147 | Maki Psychological Services, LLC | Community/Behavioral Health | 4037 Mcleod Dr, Tallahassee, FL 32303-7117 | 2013-04-30 |
| 1962846667 | Open Arms Home Care | Community/Behavioral Health | 2365 Centerville Rd # L-5, Tallahassee, FL 32308-4317 | 2013-04-24 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32301 |
Please comment or provide details below to improve the information on CAMELOT COMMUNITY CARE INC.
| 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.