Bodhi Tree Therapeutic Services

NPI #1134855869 in Orlando, Florida

Provider Information

NPI Number: 1134855869
Entity Type: Organization
Organization Name: Bodhi Tree Therapeutic Services
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Jul 26, 2022
Last Updated: Jul 26, 2022

Practice Location

Address: 5512 FAIRFAX ST
City: Orlando
State: Florida
ZIP Code: 32812-7732
Phone: (202) 374-0573

Authorized Official

Name: SHAKIRA VASQUEZ MOSCOSO, LMHC
Title: OWNER
Phone: (202) 374-0573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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