OrganizationActive
American Therapeutic Corporation
NPI 1720019557 · Mental Health Clinic/Center (Including Community Mental Health Center) · Orlando, FL
Provider details
- NPI number
- 1720019557
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marianella Valera, President and Ceo(305) 371-5777
- License
- HCC3296 (FL)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense HCC3296 (FL)
Ambulatory Health Care Facilities
Practice location
4790 N Orange Blossom Trl
Orlando, FL 32810-1601
Phone: (407) 298-0461
Fax: (407) 298-8016
Approximate (ZIP-level) locationGet directions
Mailing address
1801 Ne 2nd Ave
Miami, FL 33132-1000
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2008-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.