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Ortiz Professional Services Llc
Adolescent and Children Mental Health Clinic/Center in Orange Park, Florida
NPI 1992571012

Ortiz Professional Services Llc is an Adolescent and Children Mental Health Clinic/Center based in Orange Park, FL and is specialized in Adolescent and Children Mental Health. Ortiz Professional Services Llc practices in Orange Park, FL. The NPI Number for Ortiz Professional Services Llc is 1992571012 and holds a License No. (Florida).

The current practice location address for Ortiz Professional Services Llc is 450 Brighton Ave, Orange Park, FL and can be reached out via phone at 863-280-2147.

Location: 450 Brighton Ave, Orange Park, FL, 32073-3329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992571012
Provider Name
Ortiz Professional Services Llc
Credential
Provider Entity Type
Organization
Address
450 Brighton Ave, Orange Park, FL, 32073-3329
Phone Number
863-280-2147
Fax Number
Provider Enumeration Date
11/29/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
450 Brighton Ave
City
Orange Park
State
Florida
Zip
32073-3329
Phone Number
863-280-2147
Fax Number
person
Provider Business Mailing Address Details
Address
450 Brighton Ave
City
Orange Park
State
Florida
Zip
32073-3329
Phone Number
863-280-2147
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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 3
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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