MEDICARE: HIEU TRUNG LE RMHCI

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	IMH28294	FL

General Provider Information

NPI Number	:	1225987589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIEU TRUNG LE RMHCI

Provider Business Mailing Address
First Line	:	948 COUNTS CREST CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-4446
Country	:	US
Telephone Number	:	407-575-9227
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 MENDHAM BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-3205
Country	:	US
Telephone Number	:	407-753-4240
Fax Number	:

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

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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