Provider Demographics
NPI:1366647018
Name:PEREIRA, HANZEL (LMHC)
Entity Type:Individual
Prefix:MR
First Name:HANZEL
Middle Name:
Last Name:PEREIRA
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 1:1463 OAKFIELD DR
Mailing Address - Street 2:SUITE 127
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-3899
Mailing Address - Country:US
Mailing Address - Phone:813-684-7627
Mailing Address - Fax:813-654-3270
Practice Address - Street 1:1463 OAKFIELD DR
Practice Address - Street 2:SUITE 127
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-3899
Practice Address - Country:US
Practice Address - Phone:813-684-7627
Practice Address - Fax:813-654-3270
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 0001683101Y00000X
FLMH0001683101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor