MEDICARE: DORIMAR ARROYO 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	IMH-13904	FL
2	101YM0800X	Mental Health Counselor	MH19270	FL

General Provider Information

NPI Number	:	1811232283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIMAR ARROYO LMHC

Provider Business Mailing Address
First Line	:	1975 RUNNING HORSE TRL
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-7312
Country	:	US
Telephone Number	:	352-600-4940
Fax Number	:

Provider Business Practice Location Address
First Line	:	934 N MAGNOLIA AVE STE 212
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-3840
Country	:	US
Telephone Number	:	352-600-4940
Fax Number	:

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

Provider Enumeration Date	:	12/11/2012
Last Update Date	:	10/27/2022

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