Healthcare Provider Details

I. General information

NPI: 1811085079
Provider Name (Legal Business Name): COMPREHENSIVE COUNSELING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6220 S ORANGE BLOSSOM TRAIL SUITE 142
ORLANDO FL
32809-4677
US

IV. Provider business mailing address

6220 S ORANGE BLOSSOM TRAIL SUITE 142
ORLANDO FL
32809-4677
US

V. Phone/Fax

Practice location:
  • Phone: 407-888-8113
  • Fax: 407-851-4357
Mailing address:
  • Phone: 407-888-8113
  • Fax: 407-851-4357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. CARLOS A RUEDA
Title or Position: OWNER
Credential:
Phone: 407-888-8113