Healthcare Provider Details

I. General information

NPI: 1821316886
Provider Name (Legal Business Name): CARMA RODAK KUHN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2010
Last Update Date: 05/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6068 S APOPKA VINELAND RD SUITE 11
ORLANDO FL
32819-4449
US

IV. Provider business mailing address

10117 NEWINGTON DR
ORLANDO FL
32836-3742
US

V. Phone/Fax

Practice location:
  • Phone: 321-251-8344
  • Fax:
Mailing address:
  • Phone: 321-251-8344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH10202
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: