Primavera De Jesus Almanzar, MA, RMHCI

Individual provider Active NPI Mental Health Counselor · Maitland, FL

NPI 1235964479 · NPPES record last updated Sep 6, 2024

Key facts

NPI
1235964479
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
IMH25338 (FL)
Practice address
237 Lookout PL
Maitland, FL 32751-8433
Phone
(407) 801-4716
Fax
(321) 203-2512
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
No

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 Arts

State licenses

LicenseStateTypeSpecialty
IMH25338FLMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH25338 FL Yes

Addresses

Primary practice location

237 Lookout PL
Maitland, FL 32751-8433

Mailing address

237 Lookout PL
Maitland, FL 32751-8433
Phone (407) 801-4716

Other names

  • Primavera De Jesus Almanzar Garabito Other name

Other providers in Maitland, FL

All providers in Maitland, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.