Provider Demographics
NPI:1982303848
Name:ORLANDO BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:ORLANDO BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOANALYST
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:ROBERTO
Authorized Official - Last Name:BISONO
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:917-940-4786
Mailing Address - Street 1:333 S GARLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3355
Mailing Address - Country:US
Mailing Address - Phone:407-205-9146
Mailing Address - Fax:
Practice Address - Street 1:333 S GARLAND AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-3355
Practice Address - Country:US
Practice Address - Phone:407-205-9146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty