Provider Demographics
NPI:1790153534
Name:I AM H.E.R.E.
Entity Type:Organization
Organization Name:I AM H.E.R.E.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:TREADWELL
Authorized Official - Last Name:THOMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, EDD
Authorized Official - Phone:954-607-8485
Mailing Address - Street 1:155 N PEARL LAKE CSWY
Mailing Address - Street 2:212
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2950
Mailing Address - Country:US
Mailing Address - Phone:954-607-8485
Mailing Address - Fax:
Practice Address - Street 1:1800 PEMBROOK DR
Practice Address - Street 2:300
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-6928
Practice Address - Country:US
Practice Address - Phone:954-607-8485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-10
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 12970251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health