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Bodhi Tree Therapeutic Services
Adolescent and Children Mental Health Clinic/Center in Orlando, Florida
NPI 1134855869

Bodhi Tree Therapeutic Services is an Adolescent and Children Mental Health Clinic/Center based in Orlando, FL and is specialized in Adolescent and Children Mental Health. Bodhi Tree Therapeutic Services practices in Orlando, FL. The NPI Number for Bodhi Tree Therapeutic Services is 1134855869 and holds a License No. (Florida).

The current practice location address for Bodhi Tree Therapeutic Services is 5512 Fairfax St, Orlando, FL and can be reached out via phone at 202-374-0573. You can also correspond with Bodhi Tree Therapeutic Services through the mailing address at 5512 FAIRFAX ST, ORLANDO, FL - 32812-7732 (mailing address contact number: 202-374-0573).

Location: 5512 Fairfax St, Orlando, FL, 32812-7732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134855869
Provider Name
Bodhi Tree Therapeutic Services
Credential
Provider Entity Type
Organization
Address
5512 Fairfax St, Orlando, FL, 32812-7732
Phone Number
202-374-0573
Fax Number
Provider Enumeration Date
07/26/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH17846 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
5512 Fairfax St
City
Orlando
State
Florida
Zip
32812-7732
Phone Number
202-374-0573
Fax Number
person
Provider Business Mailing Address Details
Address
5512 Fairfax St
City
Orlando
State
Florida
Zip
32812-7732
Phone Number
202-374-0573
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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