Provider Demographics
NPI:1033726310
Name:RAYNOR, ELIF ANGEL (LMHC)
Entity Type:Individual
Prefix:
First Name:ELIF
Middle Name:ANGEL
Last Name:RAYNOR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3385 NW 79TH AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5455
Mailing Address - Country:US
Mailing Address - Phone:954-655-2525
Mailing Address - Fax:
Practice Address - Street 1:9900 W SAMPLE RD STE 300
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4077
Practice Address - Country:US
Practice Address - Phone:954-655-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18411101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health