Florida Mental Health & Eap Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9440 Issued in FL

Legal business name

FLORIDA MENTAL HEALTH & EAP SERVICES, LLC

Practice address

7345 W Sand Lake Rd
Orlando, FL 32819-5284

Phone

(407) 403-1221

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Antoinlete Pennycooke, MA, LMHCNPI 1174690663

Title

President

Phone

(407) 403-1221

Specialties & licenses 1

Addresses

Practitioners 1

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

• Antoinlete Cheref Pennycooke, MA, LMHC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1174690663
  NPD Authorized official

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1265749592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536064",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328536064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 W SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195284",
            "telephone_number": "407-403-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MENTAL HEALTH & EAP SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "PENNYCOOKE",
        "authorized_official_first_name": "ANTOINLETE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-403-1221",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.