Provider Demographics
NPI:1063856383
Name:AHERAN, MARIBEL (LMHC)
Entity Type:Individual
Prefix:
First Name:MARIBEL
Middle Name:
Last Name:AHERAN
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 1:5269 WHITE BLOSSOM CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-9227
Mailing Address - Country:US
Mailing Address - Phone:407-984-7031
Mailing Address - Fax:407-593-2016
Practice Address - Street 1:2431 ALOMA AVE # 111
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2541
Practice Address - Country:US
Practice Address - Phone:407-984-7031
Practice Address - Fax:407-593-2016
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
MA12799101YM0800X
WALH61395176101YM0800X
MDLC12238101YP2500X
PAPC14041101YP2500X
FLMH16429101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional