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BODHI TREE THERAPEUTIC SERVICES
NPI 1134855869
Clinic/Center - Adult Mental Health in Orlando, FL

Active since July 26, 2022
5512 FAIRFAX ST, ORLANDO, FL 32812(202) 374-0573 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bodhi Tree Therapeutic Services NPPES

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

BODHI TREE THERAPEUTIC SERVICES (NPI 1134855869) is a healthcare organization registered as an adult mental health in Orlando, Florida and active in the NPI registry since July 2022. The organization lists Shakira Vasquez Moscoso, Owner, as its authorized official.

NPPES Registry Identity

NPI1134855869
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBODHI TREE THERAPEUTIC SERVICES
Location Address5512 FAIRFAX STOrlando, FL 32812-7732
Mailing Address5512 Fairfax StOrlando, FL 32812-7732 · (202) 374-0573
Phone(202) 374-0573
Organization SubpartNo
Authorized OfficialShakira Vasquez MoscosoOwner · (202) 374-0573
Enumeration DateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1134855869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
5512 FAIRFAX ST, Orlando, FL 32812
Open in Google Maps ↗

Other Identifiers 1

OtherMH17846FL · License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAKIRA VASQUEZ LMHC
Counselor (Mental Health)
5512 FAIRFAX ST
ORLANDO, FL 32812
Orange County (202) 374-0573

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 Bodhi Tree Therapeutic Services's NPI number?

The NPI number for Bodhi Tree Therapeutic Services is 1134855869. It was assigned to this organization in the NPPES registry on July 26, 2022.

Where is Bodhi Tree Therapeutic Services located?

Bodhi Tree Therapeutic Services is located at 5512 Fairfax St, Orlando, FL 32812. The listed phone number is (202) 374-0573.

What is Bodhi Tree Therapeutic Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Bodhi Tree Therapeutic Services was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.