Provider Demographics
NPI:1467503839
Name:MAYER, CAROLE NICHOLAS (LMHC)
Entity Type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:NICHOLAS
Last Name:MAYER
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 1:6220 S ORANGE BLOSSOM TRL
Mailing Address - Street 2:SUITE 142
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4630
Mailing Address - Country:US
Mailing Address - Phone:407-888-8113
Mailing Address - Fax:407-851-4357
Practice Address - Street 1:6220 S ORANGE BLOSSOM TRL
Practice Address - Street 2:SUITE 142
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4630
Practice Address - Country:US
Practice Address - Phone:407-888-8113
Practice Address - Fax:407-851-4357
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8389101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health