Provider Demographics
NPI:1417103615
Name:OIGARDEN, WILLIAM (LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:OIGARDEN
Suffix:
Gender:M
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S BUMBY AVE APT J23
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-6211
Mailing Address - Country:US
Mailing Address - Phone:321-331-7313
Mailing Address - Fax:
Practice Address - Street 1:101 S BUMBY AVE APT J23
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-6211
Practice Address - Country:US
Practice Address - Phone:321-331-7313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9506101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health