Provider Demographics
NPI:1457799371
Name:CEPEDA, DORCAS MARIA (LMHC)
Entity Type:Individual
Prefix:
First Name:DORCAS
Middle Name:MARIA
Last Name:CEPEDA
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 1:114 ERNESTINE ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3620
Mailing Address - Country:US
Mailing Address - Phone:407-257-3063
Mailing Address - Fax:
Practice Address - Street 1:114 ERNESTINE ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-3620
Practice Address - Country:US
Practice Address - Phone:407-257-3063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8975101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health