Healthcare Provider Details

I. General information

NPI: 1598638330
Provider Name (Legal Business Name): ROMONDO LAMONT PORCHIA MDIV., LPC, BCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N MONROE ST STE 800
TALLAHASSEE FL
32301-1500
US

IV. Provider business mailing address

2020 W PENSACOLA ST STE 210-172
TALLAHASSEE FL
32304-3186
US

V. Phone/Fax

Practice location:
  • Phone: 850-273-8207
  • Fax:
Mailing address:
  • Phone: 850-270-3048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: