Provider Demographics
NPI:1689973521
Name:MID FLORIDA COUNSELING, LLC
Entity Type:Organization
Organization Name:MID FLORIDA COUNSELING, LLC
Other - Org Name:MARBEL FREAY LOCARNO, LCSW
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FREAY LOCARNO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:321-250-1054
Mailing Address - Street 1:1400 W OAK ST STE G
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4000
Mailing Address - Country:US
Mailing Address - Phone:321-250-1054
Mailing Address - Fax:321-256-0307
Practice Address - Street 1:1400 W OAK ST STE G
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4000
Practice Address - Country:US
Practice Address - Phone:321-250-1054
Practice Address - Fax:321-256-0307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1700989142OtherINDIVIDUAL NPI
FL1700989142OtherINDIVIDUAL NPI