MEDICARE: ONE MORE CHILD INC

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	305R00000X	Preferred Provider Organization
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1992581649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE MORE CHILD INC

Provider Business Mailing Address
First Line	:	1015 SIKES BLVD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33815-4499
Country	:	US
Telephone Number	:	352-978-2988
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 SIKES BLVD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33815-4499
Country	:	US
Telephone Number	:	352-978-2988
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	KATHLEEN C PRACHT
Credential	:	PHD, NCC, LMHC
Telephone Number	:	352-978-2988

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	05/12/2026

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Directions to “ONE MORE CHILD INC ” Practice Location

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