Provider Demographics
NPI:1366615247
Name:EAP GROUP, INC
Entity type:Organization
Organization Name:EAP GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KINZLER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LCSW
Authorized Official - Phone:407-740-7105
Mailing Address - Street 1:2256 WINTER WOODS BLVD
Mailing Address - Street 2:2256
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1955
Mailing Address - Country:US
Mailing Address - Phone:407-740-7105
Mailing Address - Fax:407-740-0372
Practice Address - Street 1:2256 WINTER WOODS BLVD
Practice Address - Street 2:2256
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-1955
Practice Address - Country:US
Practice Address - Phone:407-740-7105
Practice Address - Fax:407-740-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW# 1861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty