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NPI Code Detail

MEDICARE: MS. ELEFTERIA KOPANOS LMHC

MEDICARE: MS. ELEFTERIA KOPANOS 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
1101YM0800XMental Health CounselorMH22656FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417411893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELEFTERIA KOPANOS LMHC
Provider Business Mailing Address
First Line : 1600 SHAKER CIR
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-5721
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21300 RUTH AND BARON COLEMAN BLVD
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-1757
Country : US
Telephone Number : 561-852-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2019
Last Update Date : 12/11/2025

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