Provider Demographics
NPI:1912297276
Name:HART, MARIA WINIFRED (BS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:WINIFRED
Last Name:HART
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14554 CHEEVER ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7310
Mailing Address - Country:US
Mailing Address - Phone:407-580-4379
Mailing Address - Fax:
Practice Address - Street 1:200 E ROBINSON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1945
Practice Address - Country:US
Practice Address - Phone:407-440-4509
Practice Address - Fax:407-440-4510
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor