Myrna Colon, LMHC, NCC
Individual provider Active NPI Mental Health Counselor · Debary, FL
NPI 1073545331 · NPPES record last updated Feb 23, 2013
Key facts
- NPI
- 1073545331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH 8629 (FL)
- Practice address
- 75 Fox Ridge CT
Suite C
Debary, FL 32713-2701 - Phone
- (386) 742-1219
- Fax
- (386) 742-0190
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 8629 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 8629 | FL | Yes |
Addresses
Primary practice location
75 Fox Ridge CT
Suite C
Debary, FL 32713-2701
Mailing address
PO Box 740421
Orange City, FL 32774-0421
Phone (386) 742-1219
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- Contemporary Pilates & Massage, Inc
- Carlos Enrique Contreras Benitez
- Susan Conyac
- John X Cordoba
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All providers in Debary, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.