CARLO LAVERN SHAW NPI 1922640168

NPI Information

NPI: 1922640168
Provider Name: CARLO LAVERN SHAW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
6150 METRO WEST BLVD SUITE 103
ORLANDO, FL
ZIP 32811
Phone: (407) 276-2489
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Carlo Lavern Shaw is a mental health counselor in Orlando, FL. Carlo Lavern Shaw NPI is 1922640168. 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:

6150 METRO WEST BLVD SUITE 103
ORLANDO, FL
ZIP 32811
Phone: (407) 276-2489

The enumeration date for this NPI number is 10/9/2019 and was last updated on 10/9/2019.

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
1	101YM0800X	Counselor	Mental Health	IMH18808	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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