MEDICARE: MARIA DE PADUA SILVA MENTAL HEALTH

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
1	101YM0800X	Mental Health Counselor	IMH20394	FL
2	101YM0800X	Mental Health Counselor	MH22649	FL

General Provider Information

NPI Number	:	1417550062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DE PADUA SILVA MENTAL HEALTH

Provider Business Mailing Address
First Line	:	4977 KAIA AVE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-3766
Country	:	US
Telephone Number	:	561-246-5758
Fax Number	:

Provider Business Practice Location Address
First Line	:	4977 KAIA AVE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-3766
Country	:	US
Telephone Number	:	561-246-5758
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2020
Last Update Date	:	04/10/2026

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