Provider Demographics
NPI:1346404811
Name:GUERRELUS, ELANGE (LMHC)
Entity Type:Individual
Prefix:MR
First Name:ELANGE
Middle Name:
Last Name:GUERRELUS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16470 CEDAR RUN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6970
Mailing Address - Country:US
Mailing Address - Phone:407-489-5513
Mailing Address - Fax:
Practice Address - Street 1:16470 CEDAR RUN DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6970
Practice Address - Country:US
Practice Address - Phone:407-489-5513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16843101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health