Provider Demographics
NPI:1952767303
Name:FERREIRA, ADELINA (LMHC, QS)
Entity Type:Individual
Prefix:
First Name:ADELINA
Middle Name:
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:LMHC, QS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4394 POMPANO DR SE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-4353
Mailing Address - Country:US
Mailing Address - Phone:727-318-2921
Mailing Address - Fax:
Practice Address - Street 1:8839 BRYAN DAIRY RD STE 310
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1207
Practice Address - Country:US
Practice Address - Phone:239-690-6906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-14
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14258101YM0800X
FLMH 14258101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health