Provider Demographics
NPI:1326778564
Name:CUEVAS, JOSE JOEL (MHC)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:JOEL
Last Name:CUEVAS
Suffix:
Gender:M
Credentials:MHC
Other - Prefix:
Other - First Name:JOSE
Other - Middle Name:JOEL
Other - Last Name:CUEVAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:TCM
Mailing Address - Street 1:3201 BUDINGER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-7203
Mailing Address - Country:US
Mailing Address - Phone:407-910-2941
Mailing Address - Fax:
Practice Address - Street 1:3201 BUDINGER AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-7203
Practice Address - Country:US
Practice Address - Phone:407-910-2941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-11
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000000OtherN/A