Provider Demographics
NPI:1295981173
Name:PICARDO, SILVANA M (LMHC)
Entity type:Individual
Prefix:MRS
First Name:SILVANA
Middle Name:M
Last Name:PICARDO
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 1:32 ORLANDO BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33954-2415
Mailing Address - Country:US
Mailing Address - Phone:941-624-5988
Mailing Address - Fax:
Practice Address - Street 1:4930 FRUITVILLE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2206
Practice Address - Country:US
Practice Address - Phone:941-379-9111
Practice Address - Fax:941-379-3611
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9370101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health