Provider Demographics
NPI:1275829426
Name:PERELES, HECTOR ANIBAL (LPC)
Entity Type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:ANIBAL
Last Name:PERELES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34028 AZALEA DR N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-2653
Mailing Address - Country:US
Mailing Address - Phone:470-239-0686
Mailing Address - Fax:855-617-3605
Practice Address - Street 1:34028 AZALEA DR N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-2653
Practice Address - Country:US
Practice Address - Phone:470-239-0686
Practice Address - Fax:855-617-3605
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007270101YP2500X
FLTPMC2329101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional