Bueno Healing Hands Therapy

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

BUENO HEALING HANDS THERAPY

Practice address

1901 Peach Tree Blvd
Saint Cloud, FL 34769-1634

Phone

(407) 452-7592

NPI assigned

Sep 23, 2024

Last updated

Sep 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Leeann Kilgore, LCSWNPI 1629486428

Title

Therapist

Phone

(407) 452-7592

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, and the practitioner matching its NPPES authorized official.

• Kelly Leeann Kilgore

  • Case Manager/Care Coordinator
  • Winter Park, FL
  • NPI 1629486428
  NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1417774449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PEACH TREE BLVD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691634",
            "telephone_number": "407-452-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PEACH TREE BLVD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691634",
            "telephone_number": "407-452-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENO HEALING HANDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "407-452-7592",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysha Tenagh Bryant
• Kara L Bryant, M.A., CCC-SLP
• Lauren Bryant, LMHC
• Lynette Whaley Bryant
• Viola Buchanan
• Colleen Bui, OD
• Irene Bultron
• Irina Burbano
• Haley Burt, ARNP
• Stephanie Lynn Butler, M.S. CCC-SLP

• Adolescent and Children Mental Health Clinic/Center in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Adolescent and Children Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.