Healthcare Provider Details

I. General information

NPI: 1215863022
Provider Name (Legal Business Name): NATHALIE LAFLEUR RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 MAITLAND AVE # 16
ALTAMONTE SPRINGS FL
32701-5444
US

IV. Provider business mailing address

5321 WINDSOR LAKE CIR
SANFORD FL
32773-5737
US

V. Phone/Fax

Practice location:
  • Phone: 877-915-5745
  • Fax:
Mailing address:
  • Phone: 347-268-4663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number27841
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: