Healthcare Provider Details

I. General information

NPI: 1982960035
Provider Name (Legal Business Name): VOICES OF COURAGE TCM INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2012
Last Update Date: 04/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 S FRENCH AVE SUITE #2
SANFORD FL
32771-4289
US

IV. Provider business mailing address

2201 S FRENCH AVE SUITE #2
SANFORD FL
32771-4289
US

V. Phone/Fax

Practice location:
  • Phone: 407-314-8329
  • Fax:
Mailing address:
  • Phone: 407-314-8329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. ANITA WALKER THOMAS
Title or Position: CEO/PRESIDENT
Credential:
Phone: 407-314-8329