Organization Active NPI

Redeemed Mental Health Wellness Center, LLC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1700618816
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REDEEMED MENTAL HEALTH WELLNESS CENTER, LLC
Practice address
6249 Edgewater Dr # 1128
Orlando, FL 32810-4739
Phone
(407) 734-0824
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Mrs. Kiara Gant, LMHCNPI 1578131181
Title
Owner
Phone
(407) 734-0824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6249 Edgewater Dr # 1128
Orlando, FL 32810-4739

Mailing address

6249 Edgewater Dr # 1128
Orlando, FL 32810-4739
Phone (407) 734-0824

National Provider Directory

National Provider Directory

Locations

6249 Edgewater Dr
#1128
Orlando, FL 32810
Phone (407) 734-0824

6249 Edgewater Dr
Orlando, FL 32810

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1700618816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6249 EDGEWATER DR # 1128",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328104739",
            "telephone_number": "407-734-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 EDGEWATER DR # 1128",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328104739",
            "telephone_number": "407-734-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMED MENTAL HEALTH WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "GANT",
        "authorized_official_first_name": "KIARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-734-0824",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Aug 16, 2024; 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.