MEDICARE: ARIANA GUEVARA

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
2	101YM0800X	Mental Health Counselor	MH17141	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467968354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANA GUEVARA

Provider Business Mailing Address
First Line	:	37 N ORANGE AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-2449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7635 ASHLEY PARK CT STE 503A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-6197
Country	:	US
Telephone Number	:	508-631-4381
Fax Number	:	305-436-3733

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

Provider Enumeration Date	:	12/14/2017
Last Update Date	:	09/26/2024

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Directions to “ ARIANA GUEVARA ” Practice Location

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