Provider Demographics
NPI:1548393192
Name:EUWEMA LMHC, DAVID L (LMHC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:EUWEMA LMHC
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 1:600 N THACKER AVE
Mailing Address - Street 2:SUITE A7
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4892
Mailing Address - Country:US
Mailing Address - Phone:407-933-2544
Mailing Address - Fax:407-518-0501
Practice Address - Street 1:600 N THACKER AVE
Practice Address - Street 2:SUITE A7
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4892
Practice Address - Country:US
Practice Address - Phone:407-933-2544
Practice Address - Fax:407-518-0501
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3089101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health