OrganizationActive
Ag Therapy Clinic Inc
NPI 1497304398 · Mental Health Clinic/Center (Including Community Mental Health Center) · Kissimmee, FL
Provider details
- NPI number
- 1497304398
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yvonne Rodriguez, Chief Financial Officer(305) 498-9760
Specialties & taxonomies
Ambulatory Health Care Facilities
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
2910 Conner Ln
Kissimmee, FL 34741-7722
Phone: (305) 498-9760
Approximate (ZIP-level) locationGet directions
Mailing address
2910 Conner Ln
Kissimmee, FL 34741-7722
Additional practice locations (1)
- 2910 Conner LnKissimmee, FL 34741-7722Phone: (305) 498-9760
Registry dates
- Enumerated
- 2019-09-04
- Last updated
- 2019-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.