Provider Demographics
NPI:1124612502
Name:CARDONA, KIARA (LMHC)
Entity type:Individual
Prefix:MS
First Name:KIARA
Middle Name:
Last Name:CARDONA
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 1:7630 PISSARRO DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7366
Mailing Address - Country:US
Mailing Address - Phone:407-204-9707
Mailing Address - Fax:407-537-3504
Practice Address - Street 1:1554 ALLIGATOR ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-7540
Practice Address - Country:US
Practice Address - Phone:407-433-1832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18853101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health