Provider Demographics
NPI:1841956257
Name:VARGAS, GIANOULA (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:GIANOULA
Middle Name:
Last Name:VARGAS
Suffix:
Gender:
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 MILLENIA BLVD APT 8103
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-2167
Mailing Address - Country:US
Mailing Address - Phone:301-642-1556
Mailing Address - Fax:
Practice Address - Street 1:2355 TRUMAN SCARBOROUGH WAY
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-1310
Practice Address - Country:US
Practice Address - Phone:321-603-6550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14760101YP2500X
FLPMH1753101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health