Organization · NPI-2
Amber Screen The Educator
Clinic/Center, Mental Health (Including Community Mental Health Center) · Lakeland, FL
NPI number1669178349
StatusActive
Last updated in NPPESAug 14, 2026
Details
- NPI
- 1669178349
- Entity type
- Organization (NPI-2)
- Legal business name
- Amber Screen The Educator
- Organization subpart
- No
- Enumeration date
- Feb 3, 2023
- Certification date
- Aug 14, 2026
- Last updated
- Aug 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- The Place (Doing Business As)
Practice location
4720 Cleveland Heights BlvdLakeland, FL 33813-2243
Phone 863-777-3869
Mailing address
Po Box 982Bartow, FL 33831-0982
Phone 863-777-3869
Authorized official
Amber V Screen
President
8637773869
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