Organization
BLUEFIRE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. UTE KRANTZ LMHC, NCC, CTT (OWNER)
(407) 393-5435
Entity
Organization
Contact information
Practice address
870 CLARK ST, SUITE 1030, OVIEDO, FL 32765-9270
(407) 393-5435
Mailing address
870 CLARK ST, SUITE 1030, OVIEDO, FL 32765-9270
(407) 393-5435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMH13015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z07CP
NEW DIRECTIONS, FLORIDA BLUE
FL
Enumeration date
08/17/2015
Last updated
08/17/2015
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