THE SOURCE D.A.G.
NPI 1942566393
Counselor in Orlando, FL

Active since April 10, 2012
5301 GODDARD AVE, ORLANDO, FL 32810(407) 715-6807 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Source D.a.g. NPPES

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

THE SOURCE D.A.G. (NPI 1942566393) is a healthcare organization registered as a counselor in Orlando, Florida and active in the NPI registry since April 2012. The organization lists Rick White, Director, as its authorized official.

NPPES Registry Identity

NPI1942566393
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameTHE SOURCE OF AMERICALLC
Location Address5301 GODDARD AVEOrlando, FL 32810-5437
Mailing Address5301 Goddard AveOrlando, FL 32810-5437 · (407) 715-6807
Organization SubpartNo
Authorized OfficialRick WhiteDirector · (904) 703-4364
Enumeration DateApril 10, 2012
NPI 1942566393 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.
5301 GODDARD AVE, Orlando, FL 32810

Other Names 1

Doing Business AsThe Source D.a.g.

Other Identifiers 1

MedicaidRAENISHA22FL

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

Other Providers at the Same Location NPPES

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

Developmental Therapist
5301 GODDARD AVE
ORLANDO, FL 32810

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 The Source Of Americallc's NPI number?

The NPI number for The Source Of Americallc is 1942566393. It was assigned to this organization in the NPPES registry on April 10, 2012. The provider is doing business as The Source D.A.G..

Where is The Source Of Americallc located?

The Source Of Americallc is located at 5301 Goddard Ave, Orlando, FL 32810. The listed phone number is (407) 715-6807.

What is The Source Of Americallc'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 The Source Of Americallc was last updated on April 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.