Healthcare Provider Details

I. General information

NPI: 1881023794
Provider Name (Legal Business Name): LUCIANNE SILVA-MACHADO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 CURRY FORD RD STE 106
ORLANDO FL
32806-3353
US

IV. Provider business mailing address

2901 CURRY FORD RD STE 106
ORLANDO FL
32806-3353
US

V. Phone/Fax

Practice location:
  • Phone: 407-203-5984
  • Fax: 407-930-6070
Mailing address:
  • Phone: 407-203-5984
  • Fax: 407-930-6070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT3219
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: