LINA MARCELA MENDEZ-AGUDELO (NPI# 1124581848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124581848 |
| Entity Type | Individual |
| Full Name | LINA MARCELA MENDEZ-AGUDELO |
| Other Name | LINA MARCELA MENDEZ |
| Credential | MS, NCC |
| Practice Address |
300 Bridgewater Dr Davenport FL 33897-8805 |
| Practice Telephone | 9082941754 |
| Mailing Telephone | 9082941754 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
300 BRIDGEWATER DR |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33897-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182703 | Isis Orozco | Case Management | 9031 Pelican Cove, Davenport, FL 33897 | 2020-07-24 |
| 1669001178 | Jean Maxcene Decarde | Clinic/Center | 548 Solana Circle, Davenport, FL 33897 | 2020-04-06 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1013474063 | Surgeons of Central Florida LLC | General Practice | 755 Jay Bee Avenue, Davenport, FL 33897 | 2019-02-26 |
| 1033687108 | Detsy Z Negron | Registered Nurse | 121 Champions Vue Loop, Apt 101, Davenport, FL 33897 | 2018-11-07 |
| 1487122917 | Angela Burgos | Case Manager/Care Coordinator | 457 La Mirage Street, Davenport, FL 33897 | 2018-11-02 |
| 1790198323 | Compassionate Home Health Care LLC | Non-emergency Medical Transport (VAN) | 248 Plumoso Loop, Davenport, FL 33897 | 2014-06-11 |
| 1740530542 | Santiago Lopez | Chiropractor | 170 Hastead Dr, Davenport, FL 33897 | 2012-09-19 |
| 1942471685 | Carolina Gemma Leuthner | Speech-Language Pathologist | 736 Rodchester Loop, Davenport, FL 33897 | 2008-03-21 |
| 1013926377 | Omayra Torres | Dentist | 7700 Lake Wilson Road, Davenport, FL 33897 | 2006-08-05 |
| Find all providers in zip 33897 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177242 | Immanuel Iman Simmons | Counselor | 2195 E 53rd St, Davenport, IA 52807-2705 | 2020-09-01 |
| 1447864269 | Angela Snyder Therapy, Plc | Counselor | 1027 N Marquette St, Davenport, IA 52804-3761 | 2020-08-31 |
| 1255944526 | Laura K Heffernan | Counselor | 372 Arbor Lakes Dr, Davenport, FL 33896-8170 | 2020-08-26 |
| 1073130217 | Maritza Paula | Counselor | 164 Oxford Rd, Davenport, FL 33896-8891 | 2020-07-04 |
| 1952925992 | Jan Dumond LLC | Counselor | 4620 E 53rd St Ste 264, Davenport, IA 52807-3627 | 2020-06-05 |
| 1144875220 | Wags for Wellness LLC | Counselor | 601 Brady St Ste 206, Davenport, IA 52803-5251 | 2019-08-06 |
| 1306300223 | Wellness First Counseling | Counselor | 1706 Brady St Ste 200, Davenport, IA 52803-4708 | 2019-01-24 |
| 1366939142 | Quill Counseling Plc | Counselor | 1820 E 54th St Ste A, Davenport, IA 52807-2797 | 2018-04-17 |
| 1932609070 | Samantha J Swanson | Counselor | 7307 Pacific St, Davenport, IA 52806-1250 | 2018-02-15 |
| 1578071213 | Jennifer Mejia | Counselor | 8020 Tuscany Way, Davenport, FL 33896-5444 | 2018-01-16 |
| Find all providers in DAVENPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.