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Organization

HAPPY ENCHILADA LLC

Active
Other names
Blue Umbrella Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN SUMMER JONES MSOT, OTR/L (OWNER)
(270) 871-5661
Entity
Organization

Contact information

Practice address
695 VERBENIA DR, SATELLITE BEACH, FL 32937-2545
(270) 871-5661
Mailing address
PO BOX 372492, SATELLITE BEACH, FL 32937-0492

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
04/16/2025
Last updated
01/25/2026
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