Saint Cloud Family Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAINT CLOUD FAMILY COUNSELING CENTER

Practice address

3121 Innovation Dr Ste a
Saint Cloud, FL 34769-6501

Phone

(407) 922-4390

Fax

(407) 429-3977

NPI assigned

Aug 7, 2013

Organization subpart

No

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

Authorized official

Name

Amber Daveline, LMHC

Title

Ceo

Phone

(904) 207-9127

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Amber Daveline Smith, LMHC

  • Professional Counselor
  • Saint Cloud, FL
  • NPI 1013106749
  NPD (past)
• Leanne Sprague

  • Mental Health Counselor
  • Saint Cloud, FL
  • NPI 1205244951
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1801228267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 INNOVATION DR STE A",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696501",
            "telephone_number": "407-922-4390",
            "fax_number": "407-429-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 INNOVATION DR STE A",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696501",
            "telephone_number": "407-922-4390",
            "fax_number": "407-429-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CLOUD FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "DAVELINE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-207-9127",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Anne Rutishauser, DNP, AGACNP-BC
• Teresita Ryan, APRN
• Ryde Medical LLC.
• Gilbert Saenz
• Sage Dental of Saint Cloud
• Saint Cloud Pharmacy and Wellness Center Inc (St. Cloud Pharmacy & Wellness Center)
• Saint Girgis LLC (HealthHub Pharmacy)
• Nancy Saintil, APRN
• Tiago Vinicius Sakumoto Sr.
• Salaman Bird Behavioral Services LLC

• Community/Behavioral Health Agency in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.