Organization
HEART ABLAZE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BIANCA PARKER (AGENCY ADMINISTRATOR)
(352) 455-1362
Entity
Organization
Contact information
Practice address
1022 W NORTH BLVD STE 6, LEESBURG, FL 34748-5057
(877) 225-2931
Mailing address
1022 W NORTH BLVD STE 6, LEESBURG, FL 34748-5057
(877) 225-2931
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/05/2026
Last updated
03/27/2026
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