Individual provider · Type 1 NPI

Nisy Itty, M.H.S, CRC

Counselor · Winter Park, FL

NPI number 1104188655 Active

Practice location

315 N Lakemont Ave, Suite B
Winter Park, FL 32792-3205

Call (407) 830-6412 Map

Fax (407) 830-8413

Mailing address

453 Bridge Creek Blvd
Ocoee, FL 34761-4726

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X00111018 (FL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104188655

Nisy Itty, M.H.S, CRC's National Provider Identifier is 1104188655, issued on Jun 11, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Winter Park, FL. The record was last updated on Jun 11, 2012.