# CARROUSEL THERAPY CENTER CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carrousel Therapy & Behavioral Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023304128
- **Authorized official:** DALIS M RIVERA (PRESIDENT)
- **Authorized official phone:** (407) 910-2941

## Contact information

- **Practice address:** 1906 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741
- **Practice address phone:** (407) 910-2941
- **Practice address fax:** (888) 477-7678
- **Mailing address:** 3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
- **Mailing address phone:** (407) 891-3054
- **Mailing address fax:** (888) 477-7678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2084F0202X | Forensic Psychiatry Physician | — | NULL | Yes |
| 2084F0202X | Forensic Psychiatry Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | OT 1601 | FL | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 06/27/2011
- **Last updated:** 09/25/2024