Provider Demographics
NPI:1215394846
Name:A DAY AT A TIME COUNSELING
Entity Type:Organization
Organization Name:A DAY AT A TIME COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:407-850-2116
Mailing Address - Street 1:6220 S ORANGE BLOSSOM TRL
Mailing Address - Street 2:SUITE 191
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4630
Mailing Address - Country:US
Mailing Address - Phone:407-850-2116
Mailing Address - Fax:
Practice Address - Street 1:6220 S ORANGE BLOSSOM TRL
Practice Address - Street 2:SUITE 191
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4630
Practice Address - Country:US
Practice Address - Phone:407-850-2116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5303302R00000X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization