Provider Demographics
NPI:1093972523
Name:MCENTEE, ARLEEN (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:ARLEEN
Middle Name:
Last Name:MCENTEE
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 1:1213 PURDUE WAY
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32922-6458
Mailing Address - Country:US
Mailing Address - Phone:321-536-3017
Mailing Address - Fax:
Practice Address - Street 1:1213 PURDUE WAY
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-6458
Practice Address - Country:US
Practice Address - Phone:321-536-3017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3086101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health