MEDICARE: MS. TATIANNA DENISE FISHER LMHC

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	MH27274	FL
2	171M00000X	Case Manager/Care Coordinator
3	251S00000X	Community/Behavioral Health Agency	MH27274	FL

General Provider Information

NPI Number	:	1568850832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TATIANNA DENISE FISHER LMHC

Provider Business Mailing Address
First Line	:	833 GOOD HOMES ROAD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6628
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	833 GOOD HOMES RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6628
Country	:	US
Telephone Number	:	305-407-5848
Fax Number	:

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

Provider Enumeration Date	:	01/08/2015
Last Update Date	:	05/28/2026

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