Organization
CARROUSEL THERAPY CENTER CORPORATION
Active
Other names
Carrousel Therapy & Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DALIS M RIVERA (PRESIDENT)
(407) 910-2941
Entity
Organization
Contact information
Practice address
1906 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741
(407) 910-2941
(888) 477-7678
Mailing address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 891-3054
(888) 477-7678
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
—
—
2084F0202X
Forensic Psychiatry Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
OT 1601
FL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003711300
—
FL
Enumeration date
06/27/2011
Last updated
09/25/2024
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