Provider Demographics
NPI:1700909090
Name:MENTAL HEALTH ASSOCIATION OF CENTRAL FLORIDA
Entity Type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION OF CENTRAL FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-898-0110
Mailing Address - Street 1:1525 E ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2121
Mailing Address - Country:US
Mailing Address - Phone:407-898-0110
Mailing Address - Fax:407-898-0122
Practice Address - Street 1:1525 E ROBINSON ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-2121
Practice Address - Country:US
Practice Address - Phone:407-898-0110
Practice Address - Fax:407-898-0122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLEAP0786251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)