Wise Future Group Support Services, Llc

LBN: Wise Future Group Support Services, Llc
Wise Future Group Support Services, Llc is an health care organization with primary practice located at 10244 E Colonial Dr Ste 110 , Orlando FL 32817-4365. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Wise Future Group Support Services, Llc can be contacted via phone (407) 202-9440, or through Rivera, Yaznelly S via phone (407) 508-7374.

Contact Information

Primary practice address
10244 E Colonial Dr Ste 110 Orlando FL 32817-4365
Fax: (407) 203-4710
Website:
Authorized official contact:
Name: Rivera, Yaznelly S MPA, MSCJ, CBHCMS

Profile Details

NPI number 1770181638
LBN Legal business name Wise Future Group Support Services, Llc
DBA Doing business as
Authorized official Rivera, Yaznelly S MPA, MSCJ, CBHCMS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2020
Last updated Jan 3rd, 2022 - about 2 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 1770181638 NPPES
Florida MEDICAID 016554600
Florida MEDICAID 101284000
Florida MEDICAID 110237900
Florida MEDICAID 019545700
Florida MEDICAID 110561900
Florida MEDICAID 110159900

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