Healthcare Provider Details

I. General information

NPI: 1851206023
Provider Name (Legal Business Name): PAYTON ELAINE MUESKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2479 ALOMA AVE
WINTER PARK FL
32792-2541
US

IV. Provider business mailing address

859 MCCULLOUGH AVE APT 307
ORLANDO FL
32803-7252
US

V. Phone/Fax

Practice location:
  • Phone: 407-657-6692
  • Fax: 407-894-6010
Mailing address:
  • Phone: 920-570-3545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: