LOYAL SOURCE WORLDWIDE INC. NPI 1679150742

NPI Information

NPI: 1679150742
Provider Name: LOYAL SOURCE WORLDWIDE, INC.

Doing Business As: LOYAL CARES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
12612 CHALLENGER PKWY STE 365
ORLANDO, FL
ZIP 32826
Phone: (407) 707-9781
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LOYAL SOURCE WORLDWIDE, INC. is a mental health (including community mental health center) clinic center in Orlando, FL. LOYAL SOURCE WORLDWIDE, INC. NPI is 1679150742. The provider is registered as an organization entity type.
The provider Is Doing Business As Loyal Cares.

The provider's business location address is:

12612 CHALLENGER PKWY STE 365
ORLANDO, FL
ZIP 32826-784
Phone: (407) 707-9781
Fax: (234) 241-2258

The provider's authorized official is Lisa Lello .
The authorized official title is Behavioral Health Clinic Director and has the following contact phone number (407) 707-9781.

The enumeration date for this NPI number is 3/25/2021 and was last updated on 4/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	251S00000X	Community/Behavioral Health		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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