Provider Demographics
NPI:1427386945
Name:DORIO-CAPOBIANCO, JILDA AURELIA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:JILDA
Middle Name:AURELIA
Last Name:DORIO-CAPOBIANCO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5229 WILDFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-8713
Mailing Address - Country:US
Mailing Address - Phone:407-351-2804
Mailing Address - Fax:
Practice Address - Street 1:600 N THACKER AVE
Practice Address - Street 2:A-17
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4892
Practice Address - Country:US
Practice Address - Phone:407-443-2828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5735101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health