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Organization
LOYAL SOURCE WORLDWIDE, INC.
Active
Organization
LOYAL SOURCE WORLDWIDE, INC.
Active
Other names
Loyal Cares
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA LELLO LMHC (BEHAVIORAL HEALTH CLINIC DIRECTOR)
(407) 707-9781
Entity
Organization
Contact information
Practice address
12612 CHALLENGER PKWY STE 365, ORLANDO, FL 32826-2784
(407) 707-9781
(234) 241-2258
Mailing address
12612 CHALLENGER PKWY STE 365, ORLANDO, FL 32826-2784
(407) 707-9781
(234) 241-2258
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/25/2021
Last updated
04/19/2021
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