Organization
CARMEN PEREZ-ILLADE LMHC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN PEREZ-ILLADE MA, NCC, LMHC (DIRECTOR)
(407) 430-6300
Entity
Organization
Contact information
Practice address
2802 ALOMA AVE, SUITE 102, WINTER PARK, FL 32792-3532
(407) 430-6300
(407) 628-3300
Mailing address
2802 ALOMA AVE, SUITE 102, WINTER PARK, FL 32792-3532
(407) 430-6300
(407) 628-3300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH9110
FL
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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