Healthcare Provider Details

I. General information

NPI: 1922963610
Provider Name (Legal Business Name): ABUSED FAMILIES OF CENTRAL FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2904 XAVIER CT
ORLANDO FL
32826-3426
US

IV. Provider business mailing address

3564 AVALON PARK EAST BLVD STE 1
ORLANDO FL
32828-7365
US

V. Phone/Fax

Practice location:
  • Phone: 347-287-2244
  • Fax:
Mailing address:
  • Phone: 347-287-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SAMARA JULES
Title or Position: MANAGING MEMBER
Credential:
Phone: 347-287-2244