Provider Demographics
NPI:1023269685
Name:DISCOVERY COUNSELING OF ORLANDO, INC.
Entity type:Organization
Organization Name:DISCOVERY COUNSELING OF ORLANDO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BLANCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, NCC
Authorized Official - Phone:407-761-8383
Mailing Address - Street 1:575 FIRST CAPE CORAL DR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5925
Mailing Address - Country:US
Mailing Address - Phone:407-761-8383
Mailing Address - Fax:407-574-2763
Practice Address - Street 1:320 CROWN OAK CENTRE DR
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-6149
Practice Address - Country:US
Practice Address - Phone:407-761-8383
Practice Address - Fax:407-574-2763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8257251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health