Doctor Name: | LORNA DENISE WOOTEN |
NPI Number: | 1881909612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH 11663 |
Business Practice Address: | 323 E Kennedy Blvd #g Eatonville, FL - 327515381 |
Business Phone Number: | 4077338620 |
Business Fax Number: | |
Mailing Address: | 1232 Honey Rd, APOPKA |
State: | FL |
Postal Code: | 327122393 |
Phone Number: | 4077338620 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2010 |
NPI Last Update Date: | 10/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 11663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |