Provider Demographics
NPI:1881104214
Name:STRASSLER, ILYSA (MA)
Entity type:Individual
Prefix:
First Name:ILYSA
Middle Name:
Last Name:STRASSLER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 S SEMORAN BLVD STE 1026
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-5512
Mailing Address - Country:US
Mailing Address - Phone:407-900-9966
Mailing Address - Fax:
Practice Address - Street 1:1035 S SEMORAN BLVD STE 1026
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-5512
Practice Address - Country:US
Practice Address - Phone:407-900-9966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT2746101Y00000X
FLMT3917106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor