Provider Demographics
NPI:1427684174
Name:AYUSO, ELIA ELBA (LMHC)
Entity type:Individual
Prefix:
First Name:ELIA
Middle Name:ELBA
Last Name:AYUSO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ELIA
Other - Middle Name:ELBA
Other - Last Name:ELIAS NARVAEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4625 KALISPELL RD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34758-2517
Mailing Address - Country:US
Mailing Address - Phone:787-231-5861
Mailing Address - Fax:
Practice Address - Street 1:4625 KALISPELL RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34758-2517
Practice Address - Country:US
Practice Address - Phone:787-231-5861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-13
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH25171101YM0800X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health