Bodhi Tree Therapeutic Services

LBN: Bodhi Tree Therapeutic Services
Bodhi Tree Therapeutic Services is an health care organization with primary practice located at 5512 Fairfax St , Orlando FL 32812-7732. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Bodhi Tree Therapeutic Services can be contacted via phone (202) 374-0573, or through Vasquez Moscoso, Shakira via phone (202) 374-0573.

Contact Information

Primary practice address
5512 Fairfax St Orlando FL 32812-7732
Phone: (202) 374-0573
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vasquez Moscoso, Shakira LMHC
Phone: (202) 374-0573

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1134855869
LBN Legal business name Bodhi Tree Therapeutic Services
DBA Doing business as
Authorized official Vasquez Moscoso, Shakira LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2022
Last updated Jul 26th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134855869 NPPES
Florida Other MH17846 LICENSE

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