Provider Demographics
NPI:1528382074
Name:PEREIRA, BLESSING E (LMHC)
Entity Type:Individual
Prefix:
First Name:BLESSING
Middle Name:E
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:BLESSING
Other - Middle Name:E
Other - Last Name:TASKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:386 S ATLANTIC AVE # 208
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32176-7143
Mailing Address - Country:US
Mailing Address - Phone:678-520-5697
Mailing Address - Fax:
Practice Address - Street 1:121 W PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-3429
Practice Address - Country:US
Practice Address - Phone:386-258-1618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15888101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health