Provider Demographics
NPI:1104807361
Name:SEYKORA, MARGARET S (LMHC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:S
Last Name:SEYKORA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MAITLAND AVE
Mailing Address - Street 2:#191
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-5572
Mailing Address - Country:US
Mailing Address - Phone:407-869-1776
Mailing Address - Fax:
Practice Address - Street 1:405 DOUGLAS AVE STE 1855A
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2572
Practice Address - Country:US
Practice Address - Phone:407-869-1776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3513101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health