Provider Demographics
NPI:1497286074
Name:THE WORK STUDIES INSTITUTE,LLC
Entity Type:Organization
Organization Name:THE WORK STUDIES INSTITUTE,LLC
Other - Org Name:WSI LEARNING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS-WOROCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA
Authorized Official - Phone:850-866-0441
Mailing Address - Street 1:415 N RICHARD JACKSON BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-3694
Mailing Address - Country:US
Mailing Address - Phone:850-866-0441
Mailing Address - Fax:850-254-0827
Practice Address - Street 1:415 N RICHARD JACKSON BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-3664
Practice Address - Country:US
Practice Address - Phone:914-263-5250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251S00000X
261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL102793900Medicaid