Provider Demographics
NPI:1275163420
Name:SERRANO, YARELIS (LMHC)
Entity Type:Individual
Prefix:
First Name:YARELIS
Middle Name:
Last Name:SERRANO
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 1:8763 SW 27TH LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-9338
Mailing Address - Country:US
Mailing Address - Phone:352-265-7810
Mailing Address - Fax:
Practice Address - Street 1:8763 SW 27TH LN # 101
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-9338
Practice Address - Country:US
Practice Address - Phone:352-265-7810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17718101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health