# SKILLS 4 YOU FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740630946
- **Authorized official:** DR. AGUSTIN RIVERA MD; MC (PARTNER)
- **Authorized official phone:** (787) 995-1429

## Contact information

- **Practice address:** 17906 WOODCREST WAY, CLERMONT, FL 34714-5906
- **Practice address phone:** (407) 989-1830
- **Practice address fax:** (863) 582-9773
- **Mailing address:** 17906 WOODCREST WAY, CLERMONT, FL 34714-5906
- **Mailing address phone:** (863) 420-9899
- **Mailing address fax:** (863) 582-9773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | XS5786XXX | PR | — |
| 101YM0800X | Mental Health Counselor | PMH1453 | FL | — |
| 101YP1600X | Pastoral Counselor | 1702-001 | FL | — |
| 101YP2500X | Professional Counselor | 557 | PR | — |
| 106E00000X | Assistant Behavior Analyst | — | FL | — |
| 106H00000X | Marriage & Family Therapist | 557 | PR | — |
| 171M00000X | Case Manager/Care Coordinator | 1578 | PR | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | ACN897 | FL | Yes |

## Other

- **Enumeration date:** 06/17/2016
- **Last updated:** 08/05/2021