Provider Demographics
NPI:1376927962
Name:MENTAL HELATH SOLUTIONS CENTER
Entity Type:Organization
Organization Name:MENTAL HELATH SOLUTIONS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR PSYCHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:OSWALDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:407-797-7298
Mailing Address - Street 1:100 S SEMORAN BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-3231
Mailing Address - Country:US
Mailing Address - Phone:407-797-7298
Mailing Address - Fax:407-277-7622
Practice Address - Street 1:100 S SEMORAN BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3231
Practice Address - Country:US
Practice Address - Phone:407-797-7298
Practice Address - Fax:407-277-7622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH13560302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization