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TABULA RASA RENEWED
NPI 1215279534
Counselor in Orlando, FL

Active since March 25, 2013
702 PARK LAKE ST, ORLANDO, FL 32803(407) 272-3700 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tabula Rasa Renewed NPPES

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

TABULA RASA RENEWED (NPI 1215279534) is a healthcare organization registered as a counselor in Orlando, Florida and active in the NPI registry since March 2013. The organization lists Cordett D Mccall, President, as its authorized official.

NPPES Registry Identity

NPI1215279534
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameTABULA RASA RENEWED
Location Address702 PARK LAKE STOrlando, FL 32803-4024
Mailing Address702 Park Lake StOrlando, FL 32803-4024
Phone(407) 272-3700
Organization SubpartNo
Authorized OfficialCordett D MccallPresident · (407) 272-3700
Enumeration DateMarch 25, 2013
✔ NPI 1215279534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
702 PARK LAKE ST, Orlando, FL 32803
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Tabula Rasa Renewed's NPI number?

The NPI number for Tabula Rasa Renewed is 1215279534. It was assigned to this organization in the NPPES registry on March 25, 2013.

Where is Tabula Rasa Renewed located?

Tabula Rasa Renewed is located at 702 Park Lake St, Orlando, FL 32803. The listed phone number is (407) 272-3700.

What is Tabula Rasa Renewed's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tabula Rasa Renewed was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.