Active NPI
Guions Professional Services LLC
- Developmental Disabilities Clinic/Center
- Leesburg, FL
National Provider Identifier
1205604931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- GUIONS PROFESSIONAL SERVICES LLC
- Practice address
- 721 Balmoral Cir
Leesburg, FL 34748-5606 - Phone
- (352) 435-7068
- NPI assigned
- Dec 12, 2023
- Last updated
- Dec 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Terence Michael Guions
- Title
- Medicaid Waiver Provider
- Phone
- (352) 800-9589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | NU | Primary |
Addresses
Primary practice location
721 Balmoral Cir
Leesburg, FL 34748-5606
Mailing address
1502 N Donnelly St Ste 109
Mount Dora, FL 32757-2846
Phone (352) 720-3160
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1205604931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 N DONNELLY ST STE 109",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327572846",
"telephone_number": "352-720-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 BALMORAL CIR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485606",
"telephone_number": "352-435-7068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUIONS PROFESSIONAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "GUIONS",
"authorized_official_first_name": "TERENCE",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "MEDICAID WAIVER PROVIDER",
"authorized_official_telephone_number": "352-800-9589",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.