# FELIPE FONSECA, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Inner Peace Awareness Counseling, LLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598284259
- **Authorized official:** MR. BJ JOHNSON II (BILLING SPECIALIST)
- **Authorized official phone:** (845) 826-0727

## Contact information

- **Practice address:** 2260 GLENWOOD DR, WINTER PARK, FL 32792-3312
- **Practice address phone:** (845) 826-0727
- **Practice address fax:** (407) 892-8346
- **Mailing address:** 4820 WINDBOURNE WAY, SAINT CLOUD, FL 34772-6858
- **Mailing address phone:** (845) 826-0727
- **Mailing address fax:** (407) 892-8346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MH14147 | FL | Yes |
| 101YM0800X | Mental Health Counselor | MH14147 | FL | — |

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 06/16/2018