TEEN CHALLENGE OF FLORIDA, INC.
NPI 1366486680
Counselor - Professional in Sebree, KY

Active since June 16, 2006CLIA 11D2167612 · Waiver
25 W WEBSTER ST, SEBREE, KY 42455(484) 868-0584 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2021, Apr 6, 2020 (2 updates tracked since 2020).

About Teen Challenge Of Florida, Inc. NPPES

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

TEEN CHALLENGE OF FLORIDA, INC. (NPI 1366486680) is a healthcare organization registered as a professional in Sebree, Kentucky and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 11, 2027, maintains 2 additional practice locations, and lists Brice Maddock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366486680
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameTEEN CHALLENGE OF FLORIDA, INC.
Location Address25 W WEBSTER STSebree, KY 42455
Mailing Address15 W 10th StColumbus, GA 31901-2744 · (706) 596-8731 · Fax (706) 596-8732
Organization SubpartNo
Authorized OfficialBrice MaddockCeo · (706) 596-8731
Enumeration DateJune 16, 2006
Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
NPI 1366486680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License 0759AD922801 (FL)
25 W WEBSTER ST, Sebree, KY 42455

Secondary Practice Locations 2

Location 13706 S Sanford AveSanford, FL 32773-6002 · Phone (407) 330-9600 ext. 305 · Fax (407) 330-0407
Location 215 W 10th StColumbus, GA 31901-2744 · Phone (706) 596-8731

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2167612

Teen Challenge Of Florida, Inc · Columbus, GA
Active · expires Jun 11, 2027
CLIA Number11D2167612
Laboratory TypeOutpatient Counseling
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorJames Goins Jr
Laboratory Phone(706) 596-8731
Laboratory LocationTeen Challenge Of Florida, Inc15 W 10th Street, Columbus, GA 31901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Teen Challenge Of Florida, Inc.'s NPI number?

The NPI number for Teen Challenge Of Florida, Inc. is 1366486680. It was assigned to this organization in the NPPES registry on June 16, 2006.

Where is Teen Challenge Of Florida, Inc. located?

Teen Challenge Of Florida, Inc. is located at 25 W Webster St, Sebree, KY 42455. The listed phone number is (484) 868-0584.

What is Teen Challenge Of Florida, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Does Teen Challenge Of Florida, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2167612) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Teen Challenge Of Florida, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Teen Challenge Of Florida, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teen Challenge Of Florida, Inc. was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.