Individual
ADRIAN MIRABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
11958 XENIA LN, ORLANDO, FL 32827-7185
(706) 905-1206
Mailing address
11958 XENIA LN, ORLANDO, FL 32827-7185
(706) 905-1206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26006
FL
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106SOOOOOX
TRICARE
—
Enumeration date
03/26/2019
Last updated
02/03/2026
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