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KEEP A KID ON TRACK NPI 1568964039


NPI Information

NPI: 1568964039
Provider Name: KEEP A KID ON TRACK
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
623 PINE HILL ROAD
ORLANDO, FL
ZIP 32808
Phone: (305) 788-6269
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KEEP A KID ON TRACK is a counselor in Orlando, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. KEEP A KID ON TRACK NPI is 1568964039. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

623 PINE HILL ROAD
ORLANDO, FL
ZIP 32808
Phone: (305) 788-6269

The provider's authorized official is William M Clark .
The authorized official title is President and has the following contact phone number (305) 788-6269.

The enumeration date for this NPI number is 3/1/2018 and was last updated on 3/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
2101YP1600XCounselorPastoralNo
3101YP2500XCounselorProfessionalNo
4104100000XSocial WorkerNo
5225C00000XRehabilitation CounselorNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.