Individual
MRS. TANIA GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT, QS
Contact information
Practice address
1950 LEE RD STE 110, WINTER PARK, FL 32789-1847
(407) 561-3459
(321) 296-6847
Mailing address
2882 GLENRIDGE CIR, MERRITT ISLAND, FL 32953-2955
(321) 013-3295
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
NONE
—
Enumeration date
03/26/2013
Last updated
06/18/2025
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