Healthcare Provider Details

I. General information

NPI: 1003066598
Provider Name (Legal Business Name): HISPANIC FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2008
Last Update Date: 09/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5134 SAINT CHARLES LN
ORLANDO FL
32822-2309
US

IV. Provider business mailing address

5134 SAINT CHARLES LN
ORLANDO FL
32822-2309
US

V. Phone/Fax

Practice location:
  • Phone: 407-382-9079
  • Fax: 407-657-6035
Mailing address:
  • Phone: 407-382-9079
  • Fax: 407-657-6035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCSW 8485
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCSW 8485
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW 8485
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCSW 8485
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License NumberLCSW 8485
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberLCSW 8485
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License NumberLCSW 8485
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberLCSW 8485
License Number StateFL
# 9
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberLCSW 8485
License Number StateFL

VIII. Authorized Official

Name: DENISSE CENTENO LAMAS
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 407-382-9079