Carmen Perez-Illade LMHC Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH9110 Issued in FL

Legal business name

CARMEN PEREZ-ILLADE LMHC INC

Practice address

2802 Aloma Ave
Suite 102
Winter Park, FL 32792-3532

Phone

(407) 430-6300

Fax

(407) 628-3300

NPI assigned

Mar 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carmen Perez-Illade, MA, NCC, LMHC

Title

Director

Phone

(407) 430-6300

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1558635805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 ALOMA AVE",
            "address_2": "SUITE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923532",
            "telephone_number": "407-430-6300",
            "fax_number": "407-628-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 ALOMA AVE",
            "address_2": "SUITE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923532",
            "telephone_number": "407-430-6300",
            "fax_number": "407-628-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN PEREZ-ILLADE LMHC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "PEREZ-ILLADE",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-430-6300",
        "authorized_official_credential": "MA, NCC, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH9110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shawn Carmichael, RN
• Jamie Carmona, ARNP
• Michelle Carmona, PHD
• Jeniffer Carney
• Carol C Keeler, LCSW

• Community/Behavioral Health Agency in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.