Provider Demographics
NPI:1598828972
Name:ZEHEL-MILLER, SUSAN L (LMHC,CAP,LPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:L
Last Name:ZEHEL-MILLER
Suffix:
Gender:F
Credentials:LMHC,CAP,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3461 BOWMAN DR
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-2027
Mailing Address - Country:US
Mailing Address - Phone:407-758-3877
Mailing Address - Fax:407-677-1640
Practice Address - Street 1:711 BALLARD ST
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5441
Practice Address - Country:US
Practice Address - Phone:407-339-7451
Practice Address - Fax:407-862-2737
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6861101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL360227300Medicaid
FLMH6861OtherLICENSE