Provider Demographics
NPI:1487486999
Name:POSSIBILITY JUNCTION LLC
Entity type:Organization
Organization Name:POSSIBILITY JUNCTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:BEVERLY
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC, MCAP
Authorized Official - Phone:689-249-1809
Mailing Address - Street 1:300 N RONALD REAGAN BLVD STE 309
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5902
Mailing Address - Country:US
Mailing Address - Phone:689-249-1809
Mailing Address - Fax:407-573-7557
Practice Address - Street 1:300 N RONALD REAGAN BLVD STE 309
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5902
Practice Address - Country:US
Practice Address - Phone:689-249-1809
Practice Address - Fax:407-573-7557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty