Family Guidance and Counseling Center of Central Florida LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW2941 Issued in FL

Legal business name

FAMILY GUIDANCE AND COUNSELING CENTER OF CENTRAL FLORIDA LLC

Practice address

3256 W Lake Mary Blvd
Suite 1100
Lake Mary, FL 32746

Phone

(407) 416-5611

Fax

(386) 788-3600

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Carl Christian Hertenstein, LCSW

Title

Sole MBR

Phone

(386) 490-5745

Specialties & licenses 8

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Hertenstein, LMFT

  • Marriage & Family Therapist
  • Lake Mary, FL
  • NPI 1720388408
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1669639530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BRANDIWOOD CT",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132242",
            "telephone_number": "386-490-5745",
            "fax_number": "386-788-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 W LAKE MARY BLVD",
            "address_2": "SUITE 1100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-416-5611",
            "fax_number": "386-788-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY GUIDANCE AND COUNSELING CENTER OF CENTRAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "HERTENSTEIN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "386-490-5745",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "SW2941",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "SW2941",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW2941",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "SW2941",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "SW2941",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "FL",
            "license": "SW2941",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2941",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "SW2941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Facio, BEHAVIOR TECHNICIAN
• Marilyn Hart Fair, LMHC, MAC, CFM
• Bessie Fairbairn, DNP, APRN, FNP-BC
• Lellanny Fajardo
• Manal Fakhoury
• Family Medicine on Call, Inc
• Family Practice of Central FL, P.a.
• Family Preservation Services of Florida, Inc.
• Family4Today Inc
• Christine Farag

• Clinical Social Worker in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.