Healthcare Provider Details

I. General information

NPI: 1023796521
Provider Name (Legal Business Name): RAMYA BALAPA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E ROBINSON ST STE 425
ORLANDO FL
32801-4347
US

IV. Provider business mailing address

200 E ROBINSON ST STE 425
ORLANDO FL
32801-4347
US

V. Phone/Fax

Practice location:
  • Phone: 833-769-3524
  • Fax: 407-583-4988
Mailing address:
  • Phone: 833-769-3524
  • Fax: 407-583-4988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH22440
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: