Provider Demographics
NPI:1629360037
Name:CONSUMER ADVOCATES
Entity Type:Organization
Organization Name:CONSUMER ADVOCATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COTTRILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-773-8758
Mailing Address - Street 1:2156 BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2833
Mailing Address - Country:US
Mailing Address - Phone:941-773-8758
Mailing Address - Fax:321-972-6255
Practice Address - Street 1:2156 BLOSSOM LN
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2833
Practice Address - Country:US
Practice Address - Phone:941-773-8758
Practice Address - Fax:321-972-6255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000316200Medicaid
FL000316201Medicaid