Active NPI
Fellowship Counseling, LLC
- Community/Behavioral Health Agency
- Orlando, FL
National Provider Identifier
1619399656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MH7764
- Legal business name
- FELLOWSHIP COUNSELING, LLC
- Practice address
- 120 S Bumby Ave
Suite a
Orlando, FL 32803-7412 - Phone
- (407) 509-3616
- Fax
- (407) 282-0054
- NPI assigned
- Jan 10, 2014
- 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. Don F Hayward Jr., LMHC
- Title
- Manager
- Phone
- (407) 509-3616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MH7764 | FL | Primary |
Addresses
Primary practice location
120 S Bumby Ave
Suite a
Orlando, FL 32803-7412
Mailing address
120 S Bumby Ave
Suite a
Orlando, FL 32803-7412
Phone (407) 509-3616
National Provider Directory
National Provider DirectoryLocations
120 S Bumby Ave
Unit A
Orlando, FL 32803
Phone (321) 236-0282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491523200000",
"number": "1619399656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S BUMBY AVE",
"address_2": "SUITE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328037412",
"telephone_number": "407-509-3616",
"fax_number": "407-282-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S BUMBY AVE",
"address_2": "SUITE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328037412",
"telephone_number": "407-509-3616",
"fax_number": "407-282-0054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FELLOWSHIP COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-10",
"last_updated": "2017-04-07",
"status": "A",
"authorized_official_last_name": "HAYWARD",
"authorized_official_first_name": "DON",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "407-509-3616",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "MH7764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.