Healthcare Provider Details

I. General information

NPI: 1649874074
Provider Name (Legal Business Name): HARTMANN&HANNAN CENTER FOR PSYCHOEDUCATIONAL&BEHAVIORAL SERVICES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2020
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N SEMORAN BLVD STE 250
ORLANDO FL
32807-3369
US

IV. Provider business mailing address

520 N SEMORAN BLVD STE 250
ORLANDO FL
32807-3369
US

V. Phone/Fax

Practice location:
  • Phone: 407-590-2054
  • Fax:
Mailing address:
  • Phone: 407-590-2054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ABBY HARTMANN
Title or Position: MANAGER
Credential:
Phone: 407-789-0821