Healthcare Provider Details

I. General information

NPI: 1396185690
Provider Name (Legal Business Name): MARIANA KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2013
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 LAKE ELLENOR DR
ORLANDO FL
32809-4614
US

IV. Provider business mailing address

5002 MILL STREAM RD
OCOEE FL
34761-8110
US

V. Phone/Fax

Practice location:
  • Phone: 407-325-2235
  • Fax:
Mailing address:
  • Phone: 407-325-2235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMH15289
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: