Providence Foundation

LBN: Providence Academy, Inc
Providence Foundation is an health care organization with primary practice located at 1561 S Alafaya Trl Suite 200, Orlando FL 32828-8956. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / School, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Providence Academy, Inc can be contacted via phone (407) 382-5551, or through Braccia, Alicia Naret via phone (407) 382-5551.

Contact Information

Primary practice address
1561 S Alafaya Trl Suite 200 Orlando FL 32828-8956
Phone: (407) 382-5551
Fax: (407) 382-5637
Website:
Map and Directions
Authorized official contact:
Name: Braccia, Alicia Naret MA,CAS,ABSNP, LSP
Phone: (407) 382-5551

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / School 103TS0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1972878437
LBN Legal business name Providence Academy, Inc
DBA Doing business as Providence Foundation
Authorized official Braccia, Alicia Naret MA,CAS,ABSNP, LSP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2012
Last updated Jan 8th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972878437 NPPES
Florida MEDICAID 001021700

Popular Providers