Individual
CARLA FLEISCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3060 SUNSET LN, COCOA, FL 32922-6605
(321) 266-5646
Mailing address
3060 SUNSET LN, COCOA, FL 32922-6605
(321) 266-5646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
FL
Enumeration date
12/13/2012
Last updated
04/06/2024
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