Provider Demographics
NPI:1932313350
Name:ALBAUGH, MANDY M (LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:MANDY
Middle Name:M
Last Name:ALBAUGH
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2994 WILD PEPPER AVE
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-3011
Mailing Address - Country:US
Mailing Address - Phone:407-492-8733
Mailing Address - Fax:
Practice Address - Street 1:2006 TOWN PLAZA CT
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6216
Practice Address - Country:US
Practice Address - Phone:407-547-5802
Practice Address - Fax:407-696-7008
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-9112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health