Provider Demographics
NPI:1245846732
Name:CENTER POINT MENTAL WELLNESS AND TESTING SERVICES, INC.
Entity type:Organization
Organization Name:CENTER POINT MENTAL WELLNESS AND TESTING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:LUKE
Authorized Official - Last Name:FIORAMONTI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:850-901-3311
Mailing Address - Street 1:PO BOX 13212
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-3212
Mailing Address - Country:US
Mailing Address - Phone:850-901-3311
Mailing Address - Fax:
Practice Address - Street 1:2940 E PARK AVE STE 2C
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-3446
Practice Address - Country:US
Practice Address - Phone:850-901-3311
Practice Address - Fax:833-244-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-20
Last Update Date:2020-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty