Healthcare Provider Details

I. General information

NPI: 1497037519
Provider Name (Legal Business Name): THE FLORIDA CENTER FOR EARLY CHILDHOOD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2011
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4620 17TH ST
SARASOTA FL
34235-1843
US

IV. Provider business mailing address

4620 17TH ST
SARASOTA FL
34235-1843
US

V. Phone/Fax

Practice location:
  • Phone: 941-371-8820
  • Fax: 941-377-3194
Mailing address:
  • Phone: 941-371-8820
  • Fax: 941-377-3194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARMIAN MILLER
Title or Position: CFO
Credential:
Phone: 941-371-8820