Organization Active NPI

Wisdom for Living,.Inc.

  • Community/Behavioral Health Agency
  • Celebration, FL
National Provider Identifier
1427329085
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH4228 Issued in FL
Legal business name
WISDOM FOR LIVING,.INC.
Practice address
1420 Celebration Blvd
Suite 200
Celebration, FL 34747-5159
Phone
(863) 421-7069
Fax
(863) 422-3275
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Kevin R Vankorlaar, LMHC
Title
President/Ceo
Phone
(321) 946-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH4228 FL Primary

Addresses

Primary practice location

1420 Celebration Blvd
Suite 200
Celebration, FL 34747-5159

Mailing address

40124 Highway 27
Suite 104
Davenport, FL 33837-5905
Phone (863) 421-7069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1427329085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40124 HIGHWAY 27",
            "address_2": "SUITE 104",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375905",
            "telephone_number": "863-421-7069",
            "fax_number": "863-422-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CELEBRATION BLVD",
            "address_2": "SUITE 200",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475159",
            "telephone_number": "863-421-7069",
            "fax_number": "863-422-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM FOR LIVING,.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "VANKORLAAR",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "321-946-3341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH4228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.