Provider Demographics
NPI:1467523662
Name:IDO, MONA (LMHC)
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:IDO
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 1:7600 BRYAN DAIRY RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1433
Mailing Address - Country:US
Mailing Address - Phone:727-266-4497
Mailing Address - Fax:866-597-4256
Practice Address - Street 1:7600 BRYAN DAIRY RD
Practice Address - Street 2:SUITE C
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1433
Practice Address - Country:US
Practice Address - Phone:727-266-4497
Practice Address - Fax:866-597-4256
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7345101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health