Epic Adventures Therapy LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

EPIC ADVENTURES THERAPY LLC

Practice address

521 Northlake Blvd
North Palm Beach, FL 33408-5418

Phone

(855) 523-3742

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Ricardo Antonio Santiago, LMHC

Title

Co-Owner

Phone

(561) 346-6082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1982151551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 NORTHLAKE BLVD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "33408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 NORTHLAKE BLVD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085418",
            "telephone_number": "855-523-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC ADVENTURES THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "561-346-6082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.