Individual provider · Type 1 NPI

Carlo Lavern Shaw

Mental Health Counselor · Orlando, FL

NPI number 1922640168 Active

Practice location

6150 Metro West Blvd Suite 103
Orlando, FL 32811

Call (407) 276-2489 Map

Mailing address

5403 Eugenia Ct
Orlando, FL 32811-3910

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH18808 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1922640168

Carlo Lavern Shaw's National Provider Identifier is 1922640168, issued on Oct 9, 2019. 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 9, 2019.