BETTY CARROL (NPI# 1407415342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407415342 |
| Entity Type | Individual |
| Full Name | BETTY CARROL |
| Credential | REGISTERED MARRIAGE |
| Practice Address |
1516 E Colonial Dr Ste 100 Orlando FL 32803 |
| Mailing Address |
5295 Cortland Dr Davenport FL 33837-1763 |
| Practice Telephone | 4078941708 |
| Mailing Telephone | 8634249251 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMT3066 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | IMT3066 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 4078941708 |
| Street Address |
1516 E COLONIAL DR STE 100 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| 1285094177 | Cornelia Iucha | Psychologist | 2501 Raymond Street Orlando Va Medical Center, Lake Baldwin Opc Mental Health, Room 422, Orlando, FL 32803 | 2016-03-04 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528460 | Matthew Edward Winkles | Marriage & Family Therapist | 1215 E Robinson St, Orlando, FL 32801-2115 | 2020-11-03 |
| 1245855576 | Elizabeth Havens | Marriage & Family Therapist | 1230 Hillcrest St Ste 101, Orlando, FL 32803-4713 | 2020-06-12 |
| 1801410378 | Jamie Sue Gunning | Marriage & Family Therapist | 801 N Magnolia Ave Ste 318, Orlando, FL 32803-3843 | 2020-06-01 |
| 1093342008 | Christopher Venezia | Marriage & Family Therapist | 3125 Bruton Blvd Ste A, Orlando, FL 32805-6608 | 2020-03-27 |
| 1932735032 | Nina Elder | Marriage & Family Therapist | 1107 Lake Baldwin Ln Unit 107, Orlando, FL 32814-6814 | 2020-03-20 |
| 1053878108 | Soulcial Sanctuary,llc | Marriage & Family Therapist | 2051 Beacon Landing Cir, Orlando, FL 32824-4373 | 2019-02-25 |
| 1063908150 | Chad Christopher Chieffallo | Marriage & Family Therapist | 3611 Conroy Rd Apt 828, Orlando, FL 32839-2470 | 2018-07-02 |
| 1760983456 | Kathleen R Meeks | Marriage & Family Therapist | 4019 Clarcona Ocoee Rd, Orlando, FL 32810-4270 | 2018-02-27 |
| 1932625183 | Alina Schindler | Marriage & Family Therapist | 100 W Grant St Apt 3017, Orlando, FL 32806-3966 | 2017-08-19 |
| 1386091304 | Johnnie Kramer Jr. | Marriage & Family Therapist | 3127 San Leo Dr, Orlando, FL 32820-1429 | 2016-05-19 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.