Mentoring & Motivating Youth of America, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

50001043735 Issued in FL

Legal business name

MENTORING & MOTIVATING YOUTH OF AMERICA, INC.

Practice address

475 Friendship Dr
Orlando, FL 32835-4407

Phone

(407) 578-2993

Fax

(407) 578-4588

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Stan B. Morris

Title

Chief Executive Officer

Phone

(407) 578-2993

Specialties & licenses 1

Addresses

Other names 1

• MMYA Doing business as

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1649445842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 FRIENDSHIP DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328354407",
            "telephone_number": "407-578-2993",
            "fax_number": "407-578-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 FRIENDSHIP DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328354407",
            "telephone_number": "407-578-2993",
            "fax_number": "407-578-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTORING & MOTIVATING YOUTH OF AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-578-2993",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "50001043735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMYA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mentors for Fatherless Children and Abused Families Corporation
• Victoria Kristine Mentzoni, ARNP
• Shane Menzies, DO
• Areeba Meraj
• Cyndy Ivette Mercado Lopez

• Early Intervention Provider Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.