Organization
OPTIMUM POTENTIAL COMMUNITY SERVICES LLC
Active
Parent organization
OPTIMUM POTENTIAL COMMUNITY SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIMUM POTENTIAL COMMUNITY SERVICES LLC
Authorized official
LUCILLE THOMAS MS (CEO)
(321) 333-9197
Entity
Organization
Contact information
Practice address
120 BROADWAY STE 306, KISSIMMEE, FL 34741-5706
(407) 201-6577
(407) 350-3425
Mailing address
120 BROADWAY STE 306, KISSIMMEE, FL 34741-5706
(407) 201-6577
(407) 350-3425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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