MEDICARE: ANTONIA MEJIA 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

General Provider Information

NPI Number	:	1578057501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONIA MEJIA LMHC

Provider Business Mailing Address
First Line	:	15260 SUGARGROVE WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-6638
Country	:	US
Telephone Number	:	904-993-1320
Fax Number	:

Provider Business Practice Location Address
First Line	:	15260 SUGARGROVE WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828
Country	:	US
Telephone Number	:	904-993-1320
Fax Number	:

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

Provider Enumeration Date	:	06/22/2018
Last Update Date	:	01/14/2026

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