Provider Demographics
NPI:1013057637
Name:ALTERNATIVE DIRECTIONS
Entity Type:Organization
Organization Name:ALTERNATIVE DIRECTIONS
Other - Org Name:SHERRY S. MATTOS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE/CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:STAPP
Authorized Official - Last Name:MATTOS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-579-6009
Mailing Address - Street 1:1350 ORANGE AVE
Mailing Address - Street 2:SUITE 296
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4945
Mailing Address - Country:US
Mailing Address - Phone:407-579-6009
Mailing Address - Fax:407-622-1200
Practice Address - Street 1:1350 N ORANGE AVE
Practice Address - Street 2:SUITE 296
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4945
Practice Address - Country:US
Practice Address - Phone:407-579-6009
Practice Address - Fax:407-622-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7519101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty