Individual provider · Type 1 NPI

Lidice Davila

Mental Health Counselor · Orlando, FL

NPI number 1417610759 Active

Practice location

7041 Grand National Dr Ste 200
Orlando, FL 32819-8380

Fax (407) 704-5953

Mailing address

2016 Bearing Ln
Kissimmee, FL 34744-5921

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417610759

Lidice Davila's National Provider Identifier is 1417610759, issued on Oct 13, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Oct 13, 2021.