Healthcare Provider Details

I. General information

NPI: 1316734965
Provider Name (Legal Business Name): DIANA L OXFORD LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 N PARK AVE STE 212
WINTER PARK FL
32789-3268
US

IV. Provider business mailing address

505 N PARK AVE STE 212
WINTER PARK FL
32789-3268
US

V. Phone/Fax

Practice location:
  • Phone: 407-539-0047
  • Fax: 407-539-0048
Mailing address:
  • Phone: 407-539-0047
  • Fax: 407-539-0048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17391
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: