Doctor Name: | ELSA SANTANA |
NPI Number: | 1164729893 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED |
License Number: | |
Business Practice Address: | 4898 E Irlo Bronson Hwy., 2nd Floor St. Cloud Fl 34744 St. Cloud, FL - 34744 |
Business Phone Number: | 4078913054 |
Business Fax Number: | 8884777678 |
Mailing Address: | 4898 E Irlo Bronson Hwy., 2nd Floor, St. Cloud Fl 34744 ST. CLOUD |
State: | FL |
Postal Code: | 34744 |
Phone Number: | 4078913054 |
Fax Number: | 8884777678 |
NPI Enumeration Date: | 02/15/2011 |
NPI Last Update Date: | 10/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |