Provider Demographics
NPI:1093106502
Name:PEREZ, CLARIBEL (RMHCI)
Entity type:Individual
Prefix:DR
First Name:CLARIBEL
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3222 CORRINE DR STE A2
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-2217
Mailing Address - Country:US
Mailing Address - Phone:407-701-4230
Mailing Address - Fax:
Practice Address - Street 1:2831 AZALEA RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6651
Practice Address - Country:US
Practice Address - Phone:407-617-6944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5355101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health