Individual
ALIA KHEDEROO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6000 LAKE ELLENOR DR, ORLANDO, FL 32809-4615
(407) 613-5555
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22639
FL
101YP2500X
Professional Counselor
MH22639
FL
Other
Enumeration date
08/27/2014
Last updated
03/26/2026
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