Provider Demographics
NPI:1578794038
Name:MACHADO, IRIS DELIA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:IRIS
Middle Name:DELIA
Last Name:MACHADO
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 1:1006 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-4069
Mailing Address - Country:US
Mailing Address - Phone:407-927-1437
Mailing Address - Fax:407-910-4768
Practice Address - Street 1:1006 PLAZA DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-4069
Practice Address - Country:US
Practice Address - Phone:407-927-1437
Practice Address - Fax:407-910-1437
Is Sole Proprietor?:No
Enumeration Date:2009-08-01
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 7145101YP2500X
FLMH13571101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional