Elmer Perez, M.ED.
Individual provider Active NPI Mental Health Counselor · Umatilla, FL
NPI 1124650411 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1124650411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 366 Lake St
Umatilla, FL 32784 - Phone
- (386) 453-4469
- NPI assigned
- Feb 5, 2020
- Sex
- Male
- 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
- Credentials
- Master of Education
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
366 Lake St
Umatilla, FL 32784
Mailing address
366 Lake St
Umatilla, FL 32784
Phone (386) 453-4469
Other providers in Umatilla, FL
- Richard Jose Molina
- Cheryl Lee Myers
- Galina Leigh Nelson
- Shajuan Brown Peoples
- Jose H Perez Suarez
- Dana Roxanne Peterson
- Rebekah Marie Phillips
- Jody Marie Piper
- Laura Denise Powell
- Premier Nursing Home Consultants, Inc
All providers in Umatilla, 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 5, 2020. 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.