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NPI Code Detail

MEDICARE: KAY ALLEN LMHC LCPC LPCC

MEDICARE: KAY ALLEN LMHC LCPC LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor18099FL

General Provider Information

NPI Number : 1093090425
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAY ALLEN LMHC LCPC LPCC
Provider Business Mailing Address
First Line : 5451 MILLENIA LAKES BLVD
Second Line : APT. 302
City : ORLANDO
State : FL
Zip : 32839
Country : US
Telephone Number : 407-704-3381
Fax Number : 866-385-6097
Provider Business Practice Location Address
First Line : 4700 MILLENIA BLVD STE 500
Second Line :
City : ORLANDO
State : FL
Zip : 32839-6019
Country : US
Telephone Number : 407-704-3381
Fax Number : 866-385-6097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2011
Last Update Date : 08/24/2023

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