Healthcare Provider Details

I. General information

NPI: 1144926577
Provider Name (Legal Business Name): NYDIA ESTHER BARREIRO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 WELLS RD STE 1
ORANGE PARK FL
32073-6766
US

IV. Provider business mailing address

1855 WELLS RD STE 1
ORANGE PARK FL
32073-6766
US

V. Phone/Fax

Practice location:
  • Phone: 904-523-1287
  • Fax:
Mailing address:
  • Phone: 904-523-1287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMH25810
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number04220
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: