| Image And Likeness Counseling Llc | |
|
1950 W State Road 426 # 1003 Oviedo FL 32765-9145 | |
| (407) 803-4717 | |
| (407) 347-2293 |
| Full Name | Image And Likeness Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1950 W State Road 426 # 1003, Oviedo, Florida |
| Authorized Official Name and Position | Mirella Caro-cortes (LMHC, NCC) |
| Authorized Official Contact | 4078034717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Image And Likeness Counseling Llc 1035 Lake Rogers Cir Oviedo FL 32765-7225 Ph: (407) 803-4717 | Image And Likeness Counseling Llc 1950 W State Road 426 # 1003 Oviedo FL 32765-9145 Ph: (407) 803-4717 |
| NPI Number | 1700428612 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700428612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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