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Organization
FIRST COMMUNITY CARE
Active
Organization
FIRST COMMUNITY CARE
Active
Parent organization
FIRST BAPTIST CHURCH ORLANDO
Other names
First Orlando Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST BAPTIST CHURCH ORLANDO
Authorized official
MRS. KARI BOZARD RUSSO LMHC (DIRECTOR /LICENSED MENTAL HEALTH)
(407) 514-4470
Entity
Organization
Contact information
Practice address
3125 BRUTON BLVD, SUITE A, ORLANDO, FL 32805
(407) 514-4470
Mailing address
3125 BRUTON BLVD, SUITE A, ORLANDO, FL 32805
(407) 514-4470
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
FL
101YM0800X
Mental Health Counselor
MH5041
FL
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
FL
Other
Enumeration date
01/27/2011
Last updated
03/21/2014
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