Provider Demographics
NPI:1891178695
Name:GUIDED ENTERPRISES LLC
Entity Type:Organization
Organization Name:GUIDED ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:J
Authorized Official - Last Name:MANNONE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:352-207-0075
Mailing Address - Street 1:PO BOX 6015
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-6015
Mailing Address - Country:US
Mailing Address - Phone:352-207-0075
Mailing Address - Fax:352-620-0508
Practice Address - Street 1:5660 SW 89TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-9499
Practice Address - Country:US
Practice Address - Phone:352-207-0075
Practice Address - Fax:352-620-0508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty