Provider Demographics
NPI:1811085079
Name:COMPREHENSIVE COUNSELING CARE
Entity type:Organization
Organization Name:COMPREHENSIVE COUNSELING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-888-8113
Mailing Address - Street 1:6220 S ORANGE BLOSSOM TRAIL
Mailing Address - Street 2:SUITE 142
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4677
Mailing Address - Country:US
Mailing Address - Phone:407-888-8113
Mailing Address - Fax:407-851-4357
Practice Address - Street 1:6220 S ORANGE BLOSSOM TRAIL
Practice Address - Street 2:SUITE 142
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4677
Practice Address - Country:US
Practice Address - Phone:407-888-8113
Practice Address - Fax:407-851-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7328472OtherGHT
FL2165960OtherCIGNA
FLZ108EOtherBLUE CROSS BLUE SHIELD
60054OtherAETNA
077165OtherVALUE OPTIONS
87726OtherUNITED HEALTH CARE
276746OtherAUMED
276746OtherAUMED