Healthcare Provider Details

I. General information

NPI: 1932870367
Provider Name (Legal Business Name): HI FIVE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 E MAIN ST STE 4
HAINES CITY FL
33844-4241
US

IV. Provider business mailing address

651 E MAIN ST STE 4
HAINES CITY FL
33844-4241
US

V. Phone/Fax

Practice location:
  • Phone: 407-476-8086
  • Fax:
Mailing address:
  • Phone: 407-476-8086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: LIZBETH VAZQUEZ
Title or Position: DIRECTOR
Credential:
Phone: 407-476-8086