Provider Demographics
NPI:1841028982
Name:INTENSIVE GUIDANCE LLC
Entity type:Organization
Organization Name:INTENSIVE GUIDANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEJUMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-680-4851
Mailing Address - Street 1:280 HUNT PARK CV UNIT 1020
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-7505
Mailing Address - Country:US
Mailing Address - Phone:689-337-5109
Mailing Address - Fax:689-262-6950
Practice Address - Street 1:280 HUNT PARK CV UNIT 1020
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-7505
Practice Address - Country:US
Practice Address - Phone:689-337-5109
Practice Address - Fax:689-262-6950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine