MEDICARE: CARMENILA TAPIA LMHC

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	MH15375	FL
2	101YP2500X	Professional Counselor	MHC.LH.70046284	WA

General Provider Information

NPI Number	:	1306356720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMENILA TAPIA LMHC

Provider Business Mailing Address
First Line	:	356 CORSICA CT
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34758-4330
Country	:	US
Telephone Number	:	863-399-7194
Fax Number	:

Provider Business Practice Location Address
First Line	:	7984 FOREST CITY RD STE 103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-2907
Country	:	US
Telephone Number	:	813-290-8560
Fax Number	:

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

Provider Enumeration Date	:	10/11/2017
Last Update Date	:	06/30/2026

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