Provider Demographics
NPI:1417761537
Name:URBANO, MARIA ANDREA (MS)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANDREA
Last Name:URBANO
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ANDREA
Other - Last Name:URBANO LENIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:101 E PALMETTO ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-4183
Mailing Address - Country:US
Mailing Address - Phone:516-606-5378
Mailing Address - Fax:
Practice Address - Street 1:101 E PALMETTO ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-4183
Practice Address - Country:US
Practice Address - Phone:516-606-5378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health