MR. SANTIAGO FALLON LMHC NPI 1043360951

NPI Information

  • NPI: 1043360951
  • Provider Name: MR. SANTIAGO FALLON, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1385 W STATE ROAD 434
    SUITE 103
    LONGWOOD, FL
    ZIP 32750
  • Phone: (407) 462-6133

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NPI Details

MR. Santiago Fallon, LMHC is a mental health counselor in Longwood, FL. MR. Santiago Fallon, LMHC NPI is 1043360951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1385 W STATE ROAD 434
SUITE 103
LONGWOOD, FL
ZIP 32750-871
Phone: (407) 462-6133
Fax: (407) 332-6226

The enumeration date for this NPI number is 1/11/2007 and was last updated on 11/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthMH7320FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17647107 00MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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