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

Shane Church, LMHC

Individual provider Mental Health Counselor · NPI 1194265405

Shane Church, LMHC is a Mental Health Counselor in Orlando, Florida. Qualified in 2018, 8 years ago. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2017
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

4776 New Broad St Ste 201
Orlando, FL 32814-6423
Phone: (833) 769-3524
Fax: (407) 219-9624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH24135 (FL)

Record details

NPI number1194265405
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorNo
NPI enumeratedMarch 6, 2017
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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