MEDICARE: BILLIE JO OWENS BA

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	101YM0800X	Mental Health Counselor
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1548678030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILLIE JO OWENS BA

Provider Business Mailing Address
First Line	:	4945 S ORANGE BLOSSOM TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-2381
Country	:	US
Telephone Number	:	407-964-1440
Fax Number	:	407-964-1440

Provider Business Practice Location Address
First Line	:	4945 S ORANGE BLOSSOM TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-2381
Country	:	US
Telephone Number	:	407-964-1440
Fax Number	:	407-964-1440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2014
Last Update Date	:	07/24/2025

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