Provider Demographics
NPI:1760975387
Name:ROSADO, MAYRA (COUNSELING PSYCH)
Entity Type:Individual
Prefix:MRS
First Name:MAYRA
Middle Name:
Last Name:ROSADO
Suffix:
Gender:F
Credentials:COUNSELING PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 702419
Mailing Address - Street 2:
Mailing Address - City:ST CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34770-2419
Mailing Address - Country:US
Mailing Address - Phone:787-430-7077
Mailing Address - Fax:
Practice Address - Street 1:CARROUSEL THERAPY CENTER
Practice Address - Street 2:3201 BUDINGER AVE.
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769
Practice Address - Country:US
Practice Address - Phone:407-910-2941
Practice Address - Fax:888-477-8981
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling