Provider Demographics
NPI:1346051497
Name:FLEURANT, PATRICIA ANN
Entity type:Individual
Prefix:MISS
First Name:PATRICIA
Middle Name:ANN
Last Name:FLEURANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 SILVER LEAF CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7642
Mailing Address - Country:US
Mailing Address - Phone:718-864-8122
Mailing Address - Fax:
Practice Address - Street 1:1728 E MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-4935
Practice Address - Country:US
Practice Address - Phone:407-254-9370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH24285101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health