Provider Demographics
NPI:1831720531
Name:ESSENTIAL FAMILY AND COMMUNITY SERVICES, LLC
Entity type:Organization
Organization Name:ESSENTIAL FAMILY AND COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-399-1623
Mailing Address - Street 1:135 N. 6TH. STREET
Mailing Address - Street 2:1ST. FLOOR, SUITE E
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844
Mailing Address - Country:US
Mailing Address - Phone:863-399-1623
Mailing Address - Fax:863-576-5464
Practice Address - Street 1:135 N. 6TH STREET 1ST. FLOOR SUITE E
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-4247
Practice Address - Country:US
Practice Address - Phone:863-399-1623
Practice Address - Fax:863-576-5464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health