Endeavor Balance, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ENDEAVOR BALANCE, LLC

Practice address

2650 Dade Ave Apt 1404
Orlando, FL 32804-4657

Phone

(407) 497-5207

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Shenise Baker, LMHCNPI 1891207981

Title

Sole Member

Phone

(407) 497-5207

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shenise Baker, MA

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1891207981
  NPD Authorized official

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1821709403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E JEFFERSON ST # 1326",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011832",
            "telephone_number": "407-497-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 DADE AVE APT 1404",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044657",
            "telephone_number": "407-497-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHENISE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "407-497-5207",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Orlando, FL
• Providers in Orlando, 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 Dec 5, 2022; 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.