EDGAR LEE ETIENNE
NPI 1033764345
Counselor - Mental Health in Kissimmee, FL

Active since August 04, 2019
1176 CYPRESS GLEN CIR, KISSIMMEE, FL 34741(407) 201-2103 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2025, Nov 1, 2021, Aug 4, 2019 (3 updates tracked since 2019).

About Edgar Lee Etienne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGAR LEE ETIENNE (NPI 1033764345) is an individual mental health provider in Kissimmee, Florida and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1033764345
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDGAR LEE ETIENNE
Location Address1176 CYPRESS GLEN CIRKissimmee, FL 34741-7560
Mailing Address2531 Ne 3rd TerPompano Beach, FL 33064-4538 · (754) 242-1613
Sole ProprietorNo
Enumeration DateAugust 4, 2019
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
NPI 1033764345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1176 CYPRESS GLEN CIR, Kissimmee, FL 34741

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Etienne's NPI number?

The NPI number for Edgar Etienne is 1033764345. It was assigned to this individual provider in the NPPES registry on August 4, 2019.

Where is Edgar Etienne located?

Edgar Etienne practices at 1176 Cypress Glen Cir, Kissimmee, FL 34741. The listed phone number is (407) 201-2103.

What is Edgar Etienne's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Edgar Etienne was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.