Basic Information
| Provider Information | |||||||||
| NPI: | 1346353067 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KINDER KONSULTING & PARENTS TOO, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2479 ALOMA AVE | ||||||||
| Address2: | UNIT D | ||||||||
| City: | WINTER PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327922541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4076576692 | ||||||||
| FaxNumber: | 4078946010 | ||||||||
| Practice Location | |||||||||
| Address1: | 2479 ALOMA AVE | ||||||||
| Address2: | UNIT D | ||||||||
| City: | WINTER PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327922541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4076576692 | ||||||||
| FaxNumber: | 4078946010 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2006 | ||||||||
| LastUpdateDate: | 08/31/2021 | ||||||||
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| AuthorizedOfficialLastName: | SCHUELLER | ||||||||
| AuthorizedOfficialFirstName: | USCHI | ||||||||
| AuthorizedOfficialMiddleName: | CHLOE | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4076576692 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
| NPICertificationDate: | 08/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | SW6577 | FL | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical | 252Y00000X | HCC8845 | FL | N | Agencies | Early Intervention Provider Agency | 251S00000X | HCC8845 | FL | Y | Agencies | Community/Behavioral Health |
ID Information
| ID | Type | State | Issuer | Description | 689809298 | 05 | FL | MEDICAID | 288646 | 01 | FL | AMERIGROUP | OTHER | 000484600 | 05 | FL | MEDICAID | 600013579 | 01 | FL | MAGELLAN BEHAVIORAL HEALT | OTHER | 297236 | 01 | FL | HARMONY | OTHER |