Premium Counseling Group, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAP100038 Issued in FL

Legal business name

PREMIUM COUNSELING GROUP, LLC

Practice address

3501 W Vine St Ste 352
Kissimmee, FL 34741-4649

Phone

(407) 910-4880

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Felix Abdiel Davila Vinales, CAP, SAPNPI 1841966801

Title

Ceo/Substance Abuse Counselor

Phone

(407) 910-4880

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.

• Felix Abdiel Davila Vinales, CAP, SAP, NCAC, TAC

  • Counselor
  • New Bedford, MA
  • NPI 1841966801
  NPD Authorized official

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1982127767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST STE 352",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414649",
            "telephone_number": "407-910-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST STE 352",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414649",
            "telephone_number": "407-910-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "DAVILA VINALES",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "ABDIEL",
        "authorized_official_title_or_position": "CEO/SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "407-910-4880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAP, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP100038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.