Individual
DR. ALLANAH HEADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D, LMHC
Contact information
Practice address
4403 CAROUSEL RD, ORLANDO, FL 32808-5101
(321) 412-5007
Mailing address
4403 CAROUSEL RD, ORLANDO, FL 32808-5101
(321) 412-5007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19522
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699292847
—
FL
Enumeration date
08/28/2017
Last updated
12/07/2023
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