Provider Demographics
NPI:1194827154
Name:ORRIOLA, WANDA IVETTE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:WANDA
Middle Name:IVETTE
Last Name:ORRIOLA
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 1:7822 52ND WAY
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781
Mailing Address - Country:US
Mailing Address - Phone:727-865-3797
Mailing Address - Fax:727-864-3465
Practice Address - Street 1:3551 42ND AVENUE SOUTH
Practice Address - Street 2:STE B103
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711
Practice Address - Country:US
Practice Address - Phone:727-865-3797
Practice Address - Fax:727-864-3465
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5625101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor