| Alternative Directions, Llc | |
|
5758 S Semoran Blvd Orlando FL 32822-4818 | |
| (407) 644-4367 | |
| (407) 622-1200 |
| Full Name | Alternative Directions, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5758 S Semoran Blvd, Orlando, Florida |
| Authorized Official Name and Position | Sherry Stapp Mattos (CEO) |
| Authorized Official Contact | 4076444367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alternative Directions, Llc 5758 S Semoran Blvd Orlando FL 32822-4818 Ph: (407) 644-4367 | Alternative Directions, Llc 5758 S Semoran Blvd Orlando FL 32822-4818 Ph: (407) 644-4367 |
| NPI Number | 1013057165 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 05/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013057165 | NPI | - | NPPES |
| 00760700 | Medicaid | FL | |
| 004927300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH7519 (Florida) | Primary |
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