Provider Demographics
NPI:1093967556
Name:REST IN REEF INC
Entity Type:Organization
Organization Name:REST IN REEF INC
Other - Org Name:BURLACHER AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:ERLACHER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-312-9221
Mailing Address - Street 1:110 SPRING LAKE HILLS DR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3423
Mailing Address - Country:US
Mailing Address - Phone:407-312-9221
Mailing Address - Fax:407-869-1403
Practice Address - Street 1:110 SPRING LAKE HILLS DR
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3423
Practice Address - Country:US
Practice Address - Phone:407-312-9221
Practice Address - Fax:407-869-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty