Concordia Counseling and Behavioral Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CONCORDIA COUNSELING AND BEHAVIORAL SERVICES, LLC

Practice address

12397 S Orange Blossom TRL # 102
Orlando, FL 32837-6217

Phone

(321) 586-3920

NPI assigned

Dec 30, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lyndi EspiqueNPI 1710378328

Title

Lead Therapist

Phone

(321) 586-3920

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyndi Espique, MSW, LCSW

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1710378328
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1023657665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12397 S ORANGE BLOSSOM TRL # 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376217",
            "telephone_number": "321-586-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12397 S ORANGE BLOSSOM TRL # 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376217",
            "telephone_number": "321-586-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA COUNSELING AND BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "ESPIQUE",
        "authorized_official_first_name": "LYNDI",
        "authorized_official_title_or_position": "LEAD THERAPIST",
        "authorized_official_telephone_number": "321-586-3920"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandi Concolino
• Concordia ABA LLC
• Stephan Anthony Condill, AU.D.
• Cynthia Sue Condon
• Alexander Marius Condoroteanu-Oroveanu, DPM
• Colin J Condron, MD
• Simon Liam Condron, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.