Organization · NPI-2

Bannel Associates LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Kissimmee, FL

NPI number1215623665
StatusActive
Last updated in NPPESJun 25, 2025

Details

NPI
1215623665
Entity type
Organization (NPI-2)
Legal business name
Bannel Associates LLC
Organization subpart
No
Enumeration date
Apr 17, 2023
Certification date
Jun 25, 2025
Last updated
Jun 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Bannel Total Wellness (Doing Business As)

Practice location

501 E Oak St Ste F
Kissimmee, FL 34744-4554

Phone 407-955-6719

Mailing address

501 E Oak St Ste F
Kissimmee, FL 34744-4554

Phone 407-955-6719

Authorized official

Nelson Gonzalez Rodriguez
President
4073502120

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