Healthcare Provider Details

I. General information

NPI: 1992627087
Provider Name (Legal Business Name): ISABELA DE BARROS PIMENTEL CMHRI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N FERN CREEK AVE
ORLANDO FL
32803-2628
US

IV. Provider business mailing address

1100 N FERN CREEK AVE
ORLANDO FL
32803-2628
US

V. Phone/Fax

Practice location:
  • Phone: 321-415-3261
  • Fax:
Mailing address:
  • Phone: 321-415-3261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberIMH29385
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: