Doctor Name: | DORIS LILIAM OMDAHL |
NPI Number: | 1356428932 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MHC3042 |
Business Practice Address: | 2101 Park Center Drive Suite 270 Orlando, FL - 32835 |
Business Phone Number: | 4075231219 |
Business Fax Number: | 4075232398 |
Mailing Address: | 2101 Park Center Drive, Suite 270 ORLANDO |
State: | FL |
Postal Code: | 32835 |
Phone Number: | 4075231219 |
Fax Number: | 4075232398 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MHC3042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |