NPIMap

Organization Active NPI

Family Life Services Ministries & TCM, Inc.

  • Community/Behavioral Health Agency
  • Kissimmee, FL
National Provider Identifier
1760830640
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH 11963 Issued in FL
Legal business name
FAMILY LIFE SERVICES MINISTRIES & TCM, INC.
Practice address
721 Oak Commons Blvd Ste a
Kissimmee, FL 34741-4186
Phone
(407) 518-9505
Fax
(407) 518-9507
NPI assigned
Jun 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Miss Alicia L Heningburg, MS, LMHCNPI 1972851657
Title
Ceo
Phone
(407) 518-9506

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL
Community/Behavioral Health Agency 251S00000X MH 11963 FL Primary

Addresses

Primary practice location

721 Oak Commons Blvd Ste a
Kissimmee, FL 34741-4186

Mailing address

721 Oak Commons Blvd Ste a
Kissimmee, FL 34741-4186
Phone (407) 518-9505

Other practice location 1

100 Park Place Blvd
Suite 201
Kissimmee, FL 34741-2332
Phone (407) 518-9505

National Provider Directory

National Provider Directory

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": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1760830640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 OAK COMMONS BLVD STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414186",
            "telephone_number": "407-518-9505",
            "fax_number": "407-518-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 OAK COMMONS BLVD STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414186",
            "telephone_number": "407-518-9505",
            "fax_number": "407-518-9507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Park Place Blvd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347412332",
            "country_code": "US",
            "telephone_number": "407-518-9505",
            "fax_number": "407-518-9507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY LIFE SERVICES MINISTRIES & TCM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HENINGBURG",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-518-9506",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 11963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.