Provider Demographics
NPI:1528469624
Name:THE CENTER FOR HEALTH EQUITY, INC.
Entity type:Organization
Organization Name:THE CENTER FOR HEALTH EQUITY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:ROSS-DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:850-875-5005
Mailing Address - Street 1:231 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32351-2426
Mailing Address - Country:US
Mailing Address - Phone:850-875-4959
Mailing Address - Fax:850-875-4945
Practice Address - Street 1:231 E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-2426
Practice Address - Country:US
Practice Address - Phone:850-875-4959
Practice Address - Fax:850-875-4945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002881900Medicaid