Provider Demographics
NPI:1326373671
Name:FLORES, AILYN (MS, LMHC)
Entity Type:Individual
Prefix:MS
First Name:AILYN
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7823 N DALE MABRY HWY STE 106
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3273
Mailing Address - Country:US
Mailing Address - Phone:813-748-8426
Mailing Address - Fax:
Practice Address - Street 1:7823 N DALE MABRY HWY STE 106
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3273
Practice Address - Country:US
Practice Address - Phone:813-748-8426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MH11841101YM0800X
FLMHC11841101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty