Energetic Expressions

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MM21115 Issued in FL

Legal business name

ENERGETIC EXPRESSIONS

Practice address

407 Lake Howell Rd
Suite #110
Maitland, FL 32751-5908

Phone

(407) 257-7239

NPI assigned

Sep 10, 2008

Organization subpart

No

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

Authorized official

Name

Miss Alyson Lee Diehl, LMT

Title

Managing Member

Phone

(407) 257-7239

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1891944211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LAKE HOWELL RD",
            "address_2": "SUITE #110",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515908",
            "telephone_number": "407-257-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LAKE HOWELL RD",
            "address_2": "SUITE #110",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515908",
            "telephone_number": "407-257-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGETIC EXPRESSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-257-7239",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM21115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Maitland, FL
• Providers in Maitland, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.