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NPI Code Detail

MEDICARE: MRS. VIRGINIA WAY CUCUEL L.M.F.T., L.M.H.C.

MEDICARE: MRS. VIRGINIA WAY CUCUEL L.M.F.T., L.M.H.C.
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
1101YM0800XMental Health Counselor1041FL
2106H00000XMarriage & Family Therapist471FL

General Provider Information

NPI Number : 1982677126
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VIRGINIA WAY CUCUEL L.M.F.T., L.M.H.C.
Provider Business Mailing Address
First Line : 1555 HOWELL BRANCH RD
Second Line : SUITE B-4
City : WINTER PARK
State : FL
Zip : 32789-1109
Country : US
Telephone Number : 407-644-2121
Fax Number : 407-644-2974
Provider Business Practice Location Address
First Line : 1555 HOWELL BRANCH RD
Second Line : SUITE B-4
City : WINTER PARK
State : FL
Zip : 32789-1109
Country : US
Telephone Number : 407-644-2121
Fax Number : 407-644-2974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 09/11/2025

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