Healthcare Provider Details

I. General information

NPI: 1609278258
Provider Name (Legal Business Name): SAMIRA DA SILVA SAOUD LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2014
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2267 RIDGE AVE
CLERMONT FL
34711-8532
US

IV. Provider business mailing address

2267 RIDGE AVE
CLERMONT FL
34711-8532
US

V. Phone/Fax

Practice location:
  • Phone: 407-497-1615
  • Fax:
Mailing address:
  • Phone: 407-497-1615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18924
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: