Organization

Latino Leadership, Inc.

May also be knows as Latino Leadership Behavioral Health

Community/Behavioral Health Agency in Kissimmee, FL(View on Map)

Legal Business Name

Latino Leadership, Inc.

Also Known As

Latino Leadership Behavioral Health

NPI Number

1205596350

NPI Type

Organization

Enumeration Date

12/29/2021

Specialties

(Taxonomies)

Code

251S00000X
101Y00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

8617 E COLONIAL DR STE 1600
4545 PLEASANT HILL RD STE 101

City

Orlando
Kissimmee

State

FL
FL

Postal Code

32817-3937
34759-3400

Country

US
US

Telephone Number

(407) 895-0801
(407) 895-0801

Authorized Official

Name

Mrs. Marucci Guzman

Title or Position

EXECUTIVE DIRECTOR

Telephone Number

(407) 895-0801

Identifiers

Identifier

HCC13239

Identifier State

FL

Identifier Issuer

HEALTH CARE CLINIC CERTIFICATE OF EXEMPTION

Health Information Exchange

Endpoint Type

DIRECT
CONNECT
CONNECT

Endpoint

osceola@behavioralhealth.com
https//ehr.icanotes.com
www.myabilitynetwork.com

Endpoint Description

Client & Business Associates Portal
Medical Records System
Insurance Verification System

Use

Health Information Exchange (HIE)
Health Information Exchange (HIE)
Health Information Exchange (HIE)

Content Type

Other

Other Description:
PDF, Word

Other

Other Description:
Client Demographics, Tx Documentation, Insurance, Scheduling

Other

Other Description:
Insurance ID's and Eligibility

Affiliation

N
N
N

Endpoint Location

4545 Pleasant Hill Rd Ste 201Kissimmee, FL347593400US
4545 Pleasant Hill Rd Ste 201Kissimmee, FL347593400US
4545 Pleasant Hill Rd Ste 201Kissimmee, FL347593400US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/20/2023

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