1 Village 1 Child

Organization Active NPI Community/Behavioral Health Agency · Apopka, FL

NPI 1215345327 · NPPES record last updated Feb 5, 2015

Key facts

NPI: 1215345327
Entity type: Organization (NPI type 2)
Primary specialty: Community/Behavioral Health Agency 251S00000X
Legal business name: 1 VILLAGE 1 CHILD
Practice address: 1257 Reagans Reserve Blvd
Apopka, FL 32712-3008
Phone: (321) 209-3259
NPI assigned: Aug 1, 2014
Organization subpart: No

Authorized official

Name: Dr. Keith Daly, PH.D.
Title: Owner
Phone: (321) 209-3259

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

1 Village 1 Child Community/Behavioral Health Agency · Ocoee, FL · NPI 1649424367

NPD tax ID

National Provider Directory

Tax ID family: 1 Village 1 Child (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101Y00000X
Mental Health Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YM0800X
Poetry Therapist Group: 193200000X MULTI-SPECIALTY GROUP	102X00000X
Psychologist Group: 193200000X MULTI-SPECIALTY GROUP	103T00000X
Clinical Psychologist Group: 193200000X MULTI-SPECIALTY GROUP	103TC0700X
Clinical Child & Adolescent Psychologist Group: 193200000X MULTI-SPECIALTY GROUP	103TC2200X
Family Psychologist Group: 193200000X MULTI-SPECIALTY GROUP	103TF0000X
Group Psychotherapy Psychologist Group: 193200000X MULTI-SPECIALTY GROUP	103TP2701X
Social Worker Group: 193200000X MULTI-SPECIALTY GROUP	104100000X
Clinical Social Worker Group: 193200000X MULTI-SPECIALTY GROUP	1041C0700X
Marriage & Family Therapist Group: 193200000X MULTI-SPECIALTY GROUP	106H00000X
Community/Behavioral Health Agency	251S00000X			Yes

Addresses

Primary practice location

1257 Reagans Reserve Blvd
Apopka, FL 32712-3008

Mailing address

PO Box 308
Gotha, FL 34734-0308

Other providers in Apopka, FL

All providers in Apopka, FL · Community/Behavioral Health Agency in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.