MEDICARE: MELANIE SERRANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1184492324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE SERRANO

Provider Business Mailing Address
First Line	:	1211 STATE ROAD 436 STE 171
Second Line	:
City	:	CASSELBERRY
State	:	FL
Zip	:	32707-6442
Country	:	US
Telephone Number	:	407-894-1708
Fax Number	:	407-894-1780

Provider Business Practice Location Address
First Line	:	1211 STATE ROAD 436 STE 171
Second Line	:
City	:	CASSELBERRY
State	:	FL
Zip	:	32707-6442
Country	:	US
Telephone Number	:	407-894-1708
Fax Number	:	407-894-1780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	12/18/2023

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Directions to “ MELANIE SERRANO ” Practice Location

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