Provider Demographics
NPI:1306581582
Name:PRADO, ROSA MARIA (RMHCI)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:MARIA
Last Name:PRADO
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 SAWTOOTH CT
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-4246
Mailing Address - Country:US
Mailing Address - Phone:305-907-4578
Mailing Address - Fax:
Practice Address - Street 1:4200 SAWTOOTH CT
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-4246
Practice Address - Country:US
Practice Address - Phone:305-907-4578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH26865101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty