Active NPI
Wisdom for Living,.Inc.
- Community/Behavioral Health Agency
- Celebration, FL
National Provider Identifier
1427329085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MH4228
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.