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Organization

LATINO LEADERSHIP, INC.

Active
Parent organization
LATINO LEADERSHIP, INC.
Other names
Latino Leadership Behavioral Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
LATINO LEADERSHIP, INC.
Authorized official
MRS. MARUCCI GUZMAN (EXECUTIVE DIRECTOR)
(407) 895-0801
Entity
Organization

Contact information

Practice address
4545 PLEASANT HILL RD STE 101, KISSIMMEE, FL 34759-3400
(407) 895-0801
(407) 895-0803
Mailing address
8617 E COLONIAL DR STE 1600, ORLANDO, FL 32817-3937
(407) 895-0801
(407) 895-0803

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HCC13239
HEALTH CARE CLINIC CERTIFICATE OF EXEMPTION
FL
Enumeration date
12/29/2021
Last updated
03/20/2023
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