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Organization
THE UNITED STATES FIRE DEPARTMENT RESERVE CORPS, INC.
Active
Organization
THE UNITED STATES FIRE DEPARTMENT RESERVE CORPS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELO BAEZ (CEO/NCMDR)
(321) 332-7100
Entity
Organization
Contact information
Practice address
4700 MILLENIA BLVD STE 175, ORLANDO, FL 32839-6015
(132) 133-2710
(866) 493-0920
Mailing address
4700 MILLENIA BLVD STE 175, ORLANDO, FL 32839-6015
(132) 133-2710
(866) 493-0920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101541400
—
FL
05
—
104797200
—
FL
01
—
1060527
BEACON HEALTH OPTIONS
FL
01
—
161242
WELLCARE
FL
01
—
M5945
FIRST COST SERVICES OPTIONS
FL
Enumeration date
11/29/2018
Last updated
04/07/2022
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