3 Cord Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

3 CORD COUNSELING

Practice address

725 Northlake Blvd Apt 77
Altamonte Springs, FL 32701-6732

Phone

(954) 494-6730

NPI assigned

Mar 5, 2019

Last updated

Mar 5, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

3 CORD COUNSELINGAs reported in NPPES

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

Authorized official

Name

Mrs. Shakeena Denise Brantley, LCSWNPI 1962749515

Title

Social Worker/Counselor

Phone

(407) 603-9710

Specialties & licenses 1

Addresses

Part of

3 Cord Counseling

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shakeena Denise Brantley, LCSW

  • Clinical Social Worker
  • Lake City, FL
  • NPI 1962749515
  NPD (past) Authorized official

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1710445044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTHLAKE BLVD APT 77",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016732",
            "telephone_number": "954-494-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTHLAKE BLVD APT 77",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016732",
            "telephone_number": "954-494-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 CORD COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "3 CORD COUNSELING",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "SHAKEENA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "SOCIAL WORKER/COUNSELOR",
        "authorized_official_telephone_number": "407-603-9710",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.