Provider Demographics
NPI:1689307563
Name:MCLEMORE, ARIEL GISELA (BS)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:GISELA
Last Name:MCLEMORE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3955 WIND DANCER CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-8281
Mailing Address - Country:US
Mailing Address - Phone:678-608-7681
Mailing Address - Fax:
Practice Address - Street 1:5977 BENT PINE DR APT 1933
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-6623
Practice Address - Country:US
Practice Address - Phone:678-608-7681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling