Provider Demographics
NPI:1629550306
Name:HISPANIC FAMILY COUNSELING INC
Entity Type:Organization
Organization Name:HISPANIC FAMILY COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISSE
Authorized Official - Middle Name:C
Authorized Official - Last Name:LAMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-382-9079
Mailing Address - Street 1:8636 FORT JEFFERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-7474
Mailing Address - Country:US
Mailing Address - Phone:407-382-9079
Mailing Address - Fax:407-964-1274
Practice Address - Street 1:6900 S ORANGE BLOSSOM TRL STE 402
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-5734
Practice Address - Country:US
Practice Address - Phone:407-382-9079
Practice Address - Fax:407-964-1274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW84851041C0700X
FL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014814304Medicaid
FL014814302Medicaid
FL014814303Medicaid
FL014714300Medicaid
FL015488600Medicaid