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INDIVIDUAL PROVIDER
NPI 1033587795
Community/Behavioral Health in Longwood, FL

Active since September 10, 2015
650 PALERMO VISTA CT, LONGWOOD, FL 32750(317) 697-8932 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Individual Provider NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIVIDUAL PROVIDER (NPI 1033587795) is a healthcare organization registered as a community/behavioral health in Longwood, Florida and active in the NPI registry since September 2015. The organization lists Christine Marie Garry, Master's Level Contract Clinician, as its authorized official.

NPPES Registry Identity

NPI1033587795
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameINDIVIDUAL PROVIDER
Location Address650 PALERMO VISTA CTLongwood, FL 32750-3419
Mailing Address650 Palermo Vista CtLongwood, FL 32750-3419 · (317) 697-8932
Phone(317) 697-8932
Organization SubpartNo
Authorized OfficialChristine Marie GarryMaster's Level Contract Clinician · (317) 697-8932
Enumeration DateSeptember 10, 2015
✔ NPI 1033587795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in FL · ISW10093
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
650 PALERMO VISTA CT, Longwood, FL 32750
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Individual Provider's NPI number?

The NPI number for Individual Provider is 1033587795. It was assigned to this organization in the NPPES registry on September 10, 2015.

Where is Individual Provider located?

Individual Provider is located at 650 Palermo Vista Ct, Longwood, FL 32750. The listed phone number is (317) 697-8932.

What is Individual Provider's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Individual Provider was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.