Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Life Counseling Center

Organization Mental Health Counselor · NPI 1215509005

Family Life Counseling Center is a Mental Health Counselor in Orlando, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

4484 N John Young Pkwy
Orlando, FL 32804-1939
Phone: (352) 988-6673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1215509005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Damaris Reveron — Office Manager · (352) 988-6673
NPI enumeratedJuly 12, 2021
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021
Mailing address1230 Oakley Seaver Dr Ste 307, Clermont, FL 34711-1961

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