Pax Renuevo Counseling Center Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PAX RENUEVO COUNSELING CENTER INC.

Practice address

290 Competition Dr
Kissimmee, FL 34743-8426

Phone

(407) 870-0083

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Gina Lopez, M.ED.

Title

Administrative Director

Phone

(407) 870-0083

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1841678711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 STONEY WAY",
            "address_2": "APT. D",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445909",
            "telephone_number": "321-948-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 COMPETITION DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438426",
            "telephone_number": "407-870-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX RENUEVO COUNSELING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "407-870-0083",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelina Paula
• Jucely Paulino, DMS
• Courtney Pavlic
• Evelina Pavlova
• Matthew Craig Pavone, BC-HIS, HAS
• Johanna Payamps
• Alyce Paycher, CSC
• Mark Anthony Payne, PAC
• Bernard Kabigting Paz, NP-C
• Claudia Carolina Paz, NP

• Mental Health Counselor in Kissimmee, FL
• Providers in Kissimmee, 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 May 12, 2015; 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.