MR. JORGE M SANTAELLA LCPC
NPI 1982044590
Counselor - Mental Health in Orlando, FL
Active since June 27, 2013
About Mr. Jorge M Santaella Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JORGE M SANTAELLA LCPC (NPI 1982044590) is an individual mental health provider in Orlando, Florida, licensed in Florida (MH16047) and active in the NPI registry since June 2013. He maintains a secondary practice location in Hoffman Estates.
NPPES Registry Identity
NPI1982044590
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JORGE M SANTAELLACredential: LCPC
Location Address1613 GATTIS DROrlando, FL 32825
Mailing Address1613 Gattis DrOrlando, FL 32825-5409 · (773) 218-9651
Phone(773) 218-9651
Sole ProprietorNo
Enumeration DateJune 27, 2013
Last NPPES UpdateMay 31, 2018
✔ NPI 1982044590 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in FL · MH16047✔ Licensed in IL · 180.010954
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180.010954 (IL)
1613 GATTIS DR, Orlando, FL 32825
Secondary Practice Location 1
Location 11 Illinois Blvd Ste 107Hoffman Estates, IL 60169-3314 · Phone (847) 884-6212
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982044590, enumerated as an "individual" on June 27, 2013.
The provider is located at 1613 GATTIS DR ORLANDO, FL 32825 and the phone number is (773) 218-9651.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
