Healthcare Provider Details

I. General information

NPI: 1003360488
Provider Name (Legal Business Name): LILIANE DE ALMEIDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5749 WESTGATE DR STE 102
ORLANDO FL
32835-5040
US

IV. Provider business mailing address

5749 WESTGATE DR STE 102
ORLANDO FL
32835-5040
US

V. Phone/Fax

Practice location:
  • Phone: 321-441-1030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: