Organization Active NPI

Avec Moi Mental Health Inc

  • Community Health Clinic/Center
  • Orlando, FL
National Provider Identifier
1104408228
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
AVEC MOI MENTAL HEALTH INC
Practice address
2202 Curry Ford Rd Ste E
Orlando, FL 32806-2478
Phone
(407) 913-9945
NPI assigned
Apr 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Ezequiela Nilda Columbie
Title
Administrator
Phone
(407) 913-9945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

2202 Curry Ford Rd Ste E
Orlando, FL 32806-2478

Mailing address

8501 Grinstead CT
Orlando, FL 32825-8433
Phone (407) 913-9945

Other identifiers 1

IdentifierTypeStateIssuer
8000-1225052OtherFLLICENSE

National Provider Directory

National Provider Directory

Locations

2202 Curry Ford Rd
Ste E
Orlando, FL 32806
Phone (407) 913-9945

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1104408228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 GRINSTEAD CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258433",
            "telephone_number": "407-913-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 CURRY FORD RD STE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062478",
            "telephone_number": "407-913-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEC MOI MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "COLUMBIE",
        "authorized_official_first_name": "EZEQUIELA",
        "authorized_official_middle_name": "NILDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-913-9945"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "8000-1225052",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.