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The Source Of Americallc
Counselor in Orlando, Florida
NPI 1942566393

The Source Of Americallc is a Counselor based in Orlando, FL. The Source Of Americallc practices in Orlando, FL. The NPI Number for The Source Of Americallc is 1942566393 and holds a License No. (Florida).

The current practice location address for The Source Of Americallc is 5301 Goddard Ave, Orlando, FL and can be reached out via phone at 407-715-6807.

Location: 5301 Goddard Ave, Orlando, FL, 32810-5437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942566393
Provider Name
The Source Of Americallc
Credential
Provider Entity Type
Organization
Address
5301 Goddard Ave, Orlando, FL, 32810-5437
Phone Number
407-715-6807
Fax Number
Provider Enumeration Date
04/10/2012
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
RAENISHA22 05 FL
institution
Provider Business Practice Location Address Details
Address
5301 Goddard Ave
City
Orlando
State
Florida
Zip
32810-5437
Phone Number
407-715-6807
Fax Number
person
Provider Business Mailing Address Details
Address
5301 Goddard Ave
City
Orlando
State
Florida
Zip
32810-5437
Phone Number
407-715-6807
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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