Individual
ALEXIS GOOLKASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
21 COLUMBIA ST STE 201, ORLANDO, FL 32806-1133
(407) 262-2220
Mailing address
21 COLUMBIA ST STE 201, ORLANDO, FL 32806-1133
(407) 262-2220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107150000
—
FL
Enumeration date
03/03/2017
Last updated
05/15/2024
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