MEDICARE: CHARLES ENGLISH & ASSOCIATES LLC

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

General Provider Information

NPI Number	:	1619369006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLES ENGLISH & ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	PO BOX 160612
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32716-0612
Country	:	US
Telephone Number	:	407-687-2227
Fax Number	:

Provider Business Practice Location Address
First Line	:	1850 LEE RD STE 300
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2107
Country	:	US
Telephone Number	:	407-740-8899
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ALLEN RICHARD ENGLISH
Credential	:	MMH
Telephone Number	:	407-687-2227

Provider Enumeration Date	:	02/23/2015
Last Update Date	:	02/23/2015

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