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NPI Code Detail

MEDICARE: MELISSA MIRANDA M.A., NCC, LMFT

MEDICARE: MELISSA MIRANDA M.A., NCC, LMFT
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
1106H00000XMarriage & Family TherapistIMT3536FL

General Provider Information

NPI Number : 1205408374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MIRANDA M.A., NCC, LMFT
Provider Business Mailing Address
First Line : 9725 SELTEN WAY UNIT C
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7933
Country : US
Telephone Number : 407-603-1598
Fax Number :
Provider Business Practice Location Address
First Line : 9725 SELTEN WAY UNIT C
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7933
Country : US
Telephone Number : 407-603-1598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2021
Last Update Date : 06/11/2026

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