Provider Demographics
NPI:1811192925
Name:BRAUNNS, CARLEEN SUE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CARLEEN
Middle Name:SUE
Last Name:BRAUNNS
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 1:1525 INTERNATIONAL PKWY
Mailing Address - Street 2:SUITE #3011
Mailing Address - City:HEATHROW
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4708
Mailing Address - Country:US
Mailing Address - Phone:407-956-5771
Mailing Address - Fax:407-956-5772
Practice Address - Street 1:1525 INTERNATIONAL PKWY
Practice Address - Street 2:SUITE #3011
Practice Address - City:HEATHROW
Practice Address - State:FL
Practice Address - Zip Code:32746-4708
Practice Address - Country:US
Practice Address - Phone:407-956-5771
Practice Address - Fax:407-956-5772
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4307101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health