Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bodhi Tree Therapeutic Services

Organization Adult Mental Health Clinic/Center · NPI 1134855869

Bodhi Tree Therapeutic Services is an Adult Mental Health Clinic/Center in Orlando, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

5512 Fairfax St
Orlando, FL 32812-7732
Phone: (202) 374-0573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1134855869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shakira Vasquez Moscoso — Owner · (202) 374-0573
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address5512 Fairfax St, Orlando, FL 32812-7732

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