Organization
EHOME BEHAVIORAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGERS KIRVEN (FOUNDER)
(321) 297-8770
Entity
Organization
Contact information
Practice address
4700 MILLENIA BLVD STE 175, ORLANDO, FL 32839-6015
(833) 403-4663
(888) 853-7908
Mailing address
4700 MILLENIA BLVD STE 175, ORLANDO, FL 32839-6015
(833) 403-4663
(888) 853-7908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/03/2017
Last updated
12/08/2023
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