MEDICARE: ORLANDO SANTIAGO SR. M. ED., 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	MH14605	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1841527801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLANDO SANTIAGO SR. M. ED., LMHC

Provider Business Mailing Address
First Line	:	1843 ISLAND WALK DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-4705
Country	:	US
Telephone Number	:	321-948-2104
Fax Number	:	321-445-5396

Provider Business Practice Location Address
First Line	:	8615 COMMODITY CIR STE 12
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-9072
Country	:	US
Telephone Number	:	321-948-2104
Fax Number	:

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

Provider Enumeration Date	:	11/12/2009
Last Update Date	:	04/10/2020

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