| Easter Seals Florida, Inc. | |
|
31600 Camp Challenge Rd Sorrento FL 32776-9558 | |
| (352) 383-4711 | |
| (352) 383-0744 |
| Full Name | Easter Seals Florida, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 31600 Camp Challenge Rd, Sorrento, Florida |
| Authorized Official Name and Position | Rikesha Blake (CFO) |
| Authorized Official Contact | 4072875185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Florida, Inc. 2010 Crosby Way Winter Park FL 32792-4119 Ph: (407) 629-7881 | Easter Seals Florida, Inc. 31600 Camp Challenge Rd Sorrento FL 32776-9558 Ph: (352) 383-4711 |
| NPI Number | 1447083118 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 02/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447083118 | NPI | - | NPPES |
| 123674700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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