Provider Demographics
NPI:1306266879
Name:PEREZ, OSWALDO JOSE (MS LMHC QS)
Entity type:Individual
Prefix:
First Name:OSWALDO
Middle Name:JOSE
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MS LMHC QS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 N HOAGLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4518
Mailing Address - Country:US
Mailing Address - Phone:407-797-7298
Mailing Address - Fax:407-386-3201
Practice Address - Street 1:804 N HOAGLAND BLVD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4518
Practice Address - Country:US
Practice Address - Phone:407-797-7298
Practice Address - Fax:407-386-3201
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health