Healthcare Provider Details

I. General information

NPI: 1861002875
Provider Name (Legal Business Name): ORCI COUNSELING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 06/23/2022
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 S FEDERAL HWY
BOYNTON BEACH FL
33435-5614
US

IV. Provider business mailing address

1080 S FEDERAL HWY
BOYNTON BEACH FL
33435-5614
US

V. Phone/Fax

Practice location:
  • Phone: 561-272-2000
  • Fax: 561-272-1111
Mailing address:
  • Phone: 561-272-2000
  • Fax: 561-272-1111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE JASPER
Title or Position: AGENT
Credential: DC
Phone: 561-272-2000