Provider Demographics
NPI:1912169152
Name:IGLESIAS RIOS, EFRAIN (LMHC)
Entity Type:Individual
Prefix:
First Name:EFRAIN
Middle Name:
Last Name:IGLESIAS RIOS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 DOVETAIL AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-2938
Mailing Address - Country:US
Mailing Address - Phone:407-247-3088
Mailing Address - Fax:407-483-5999
Practice Address - Street 1:3501 W VINE ST STE 294
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4684
Practice Address - Country:US
Practice Address - Phone:407-247-3088
Practice Address - Fax:407-247-3088
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9239101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health