Active NPI
Lake Wales Charter Schools Inc
- Speech-Language Pathologist
- Lake Wales, FL
National Provider Identifier
1265910657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- LAKE WALES CHARTER SCHOOLS INC
- Practice address
- 130 E Central Ave
Lake Wales, FL 33853-4166 - Phone
- (863) 604-1615
- NPI assigned
- Jul 30, 2018
- 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. Alricky Smtih
- Title
- Cfo
- Phone
- (863) 215-8506
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
130 E Central Ave
Lake Wales, FL 33853-4166
Mailing address
PO Box 3309
Lake Wales, FL 33859-3309
Phone (863) 215-8506
Other names 1
- Lake Wales Charter Schools Inc
National Provider Directory
National Provider DirectoryLocations
130 E Central Ave
Lake Wales, FL 33853
Phone (863) 604-1615
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Assistant
- Lake Wales, FL
- NPI 1356913933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552003200000",
"number": "1265910657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3309",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338593309",
"telephone_number": "863-215-8506",
"fax_number": "863-679-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E CENTRAL AVE",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534166",
"telephone_number": "863-604-1615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE WALES CHARTER SCHOOLS INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-30",
"last_updated": "2019-03-08",
"status": "A",
"authorized_official_last_name": "SMTIH",
"authorized_official_first_name": "ALRICKY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "863-215-8506",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake Wales Charter Schools Inc",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Lake Wales Charter Schools Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lake Wales, FL
- Kris Fitzgerald, LMHC, PLLC
- L & E Express Transport, Inc
- L & E Helping Hands LLC
- Salim Lahlou, M.D.
- Lake Wale Pediatric Internal Medicine P.a.
- Lake Wales Chiropractic Center Inc
- Lake Wales Clinic Corp
- Lake Wales Dental Associates
- Lake Wales Emergency Physicians, LLC
- Lake Wales Foot and Ankle Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.