Healthcare Provider Details

I. General information

NPI: 1598828972
Provider Name (Legal Business Name): SUSAN L ZEHEL-MILLER LMHC,CAP,LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 02/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 BALLARD ST
ALTAMONTE SPRINGS FL
32701-5441
US

IV. Provider business mailing address

3461 BOWMAN DR
WINTER PARK FL
32792-2027
US

V. Phone/Fax

Practice location:
  • Phone: 407-339-7451
  • Fax: 407-862-2737
Mailing address:
  • Phone: 407-758-3877
  • Fax: 407-677-1640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 6861
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: