Ortiz Professional Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Orange Park, Florida
1992571012- Practice location
- 1855 Wells RD Ste 1, Orange Park, FL 32073-6766
- Phone
- 904-523-1287
- Fax
- 904-615-6919
- Last updated
- September 29, 2026
Ortiz Professional Services LLC is a healthcare organization based in Orange Park, FL. Ortiz Professional Services LLC practices in Orange Park, FL. The NPI Number for Ortiz Professional Services LLC is 1992571012. The current practice location address for Ortiz Professional Services LLC is 1855 Wells RD Ste 1, Orange Park, FL 32073-6766 and can be reached out via phone at 904-523-1287 and via fax at 904-615-6919.
Provider Profile Details
- NPI Number
- 1992571012
- Provider Name
- Ortiz Professional Services LLC
- Provider Entity Type
- Organization
- Address
- 1855 Wells RD Ste 1, Orange Park, FL 32073-6766
- Phone Number
- 904-523-1287
- Fax Number
- 904-615-6919
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Kenia N. Davila Ortiz, MHC, CADC · Ceo · 904-523-1287
- Other Names
- Ortiz Wellness Center (Doing Business As)
- Provider Enumeration Date
- November 29, 2023
- Last Update Date
- September 29, 2026
- Certification Date
- September 25, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1855 Wells RD Ste 1
Orange Park, FL 32073-6766 - City
- Orange Park
- State
- Florida
- Zip
- 32073-6766
- Phone Number
- 904-523-1287
- Fax Number
- 904-615-6919
Provider Business Mailing Address Details
- Address
- 1855 Wells RD Ste 1
Orange Park, FL 32073-6766 - City
- Orange Park
- State
- FL
- Zip
- 32073-6766
- Phone Number
- 904-523-1287
- Fax Number
- 904-615-6919
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (3)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (4)
- Counselor, Pastoral · 101YP1600X
- Taxonomy (5)
- Psychologist, Clinical · 103TC0700X
- Taxonomy (6)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (7)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
- Taxonomy (8)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (9)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (10)
- Clinic/Center, Multi-Specialty · 261QM1300X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ortiz Professional Services LLC?
The NPI number of Ortiz Professional Services LLC is 1992571012. It was assigned on November 29, 2023 and is currently active in the NPPES registry.
What is the specialty of Ortiz Professional Services LLC?
Ortiz Professional Services LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Ortiz Professional Services LLC practice?
The practice location is 1855 Wells RD Ste 1, Orange Park, FL 32073-6766. The office can be reached at 904-523-1287 (phone) or 904-615-6919 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992571012 directly on the NPPES registry website.