Provider Demographics
NPI:1457918393
Name:CARMICHAEL, CERENITY (LMHC)
Entity Type:Individual
Prefix:
First Name:CERENITY
Middle Name:
Last Name:CARMICHAEL
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:PO BOX 607978
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32860-7978
Mailing Address - Country:US
Mailing Address - Phone:407-553-2266
Mailing Address - Fax:407-216-1203
Practice Address - Street 1:5087 EDGEWATER DRIVE
Practice Address - Street 2:#607978
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32860-7978
Practice Address - Country:US
Practice Address - Phone:321-655-9044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-27
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health