Optimum Mental Health Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8417 Issued in FL

Legal business name

OPTIMUM MENTAL HEALTH SERVICES, LLC

Practice address

559 Hiawatha Palm PL
Apopka, FL 32712-3315

Phone

(407) 703-3569

NPI assigned

May 19, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Lascells Martin Phillips, LCSW

Title

Ceo

Phone

(407) 703-3569

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1194018424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 HIAWATHA PALM PL",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123315",
            "telephone_number": "407-703-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 HIAWATHA PALM PL",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123315",
            "telephone_number": "407-703-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LASCELLS",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-703-3569",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Apopka, FL
• Providers in Apopka, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.