MEDICARE: A DAY AT A TIME COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization	5303	FL
2	305R00000X	Preferred Provider Organization	5303	FL

General Provider Information

NPI Number	:	1215394846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A DAY AT A TIME COUNSELING

Provider Business Mailing Address
First Line	:	6220 S ORANGE BLOSSOM TRL
Second Line	:	SUITE 191
City	:	ORLANDO
State	:	FL
Zip	:	32809-4630
Country	:	US
Telephone Number	:	407-850-2116
Fax Number	:

Provider Business Practice Location Address
First Line	:	6220 S ORANGE BLOSSOM TRL
Second Line	:	SUITE 191
City	:	ORLANDO
State	:	FL
Zip	:	32809-4630
Country	:	US
Telephone Number	:	407-850-2116
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MR. JOHN MAS
Credential	:	LCSW
Telephone Number	:	407-850-2116

Provider Enumeration Date	:	01/27/2016
Last Update Date	:	01/27/2016

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Directions to “A DAY AT A TIME COUNSELING ” Practice Location

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