Provider Demographics
NPI:1841685229
Name:MCNEESE NELSON, CORA (LMHC)
Entity type:Individual
Prefix:
First Name:CORA
Middle Name:
Last Name:MCNEESE NELSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CORA
Other - Middle Name:
Other - Last Name:MCNEESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:2256 WINTER WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1955
Mailing Address - Country:US
Mailing Address - Phone:407-740-5655
Mailing Address - Fax:407-740-0372
Practice Address - Street 1:203 E 3RD ST STE 102
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1879
Practice Address - Country:US
Practice Address - Phone:407-740-5655
Practice Address - Fax:407-740-0372
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12987101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health