Provider Demographics
NPI:1629373469
Name:VALLE, YEZENIA NATHALIE (LMHC, LPC, LCMHC)
Entity type:Individual
Prefix:
First Name:YEZENIA
Middle Name:NATHALIE
Last Name:VALLE
Suffix:
Gender:F
Credentials:LMHC, LPC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11013 WHISTLING PINE WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6043
Mailing Address - Country:US
Mailing Address - Phone:561-301-4562
Mailing Address - Fax:
Practice Address - Street 1:11013 WHISTLING PINE WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6043
Practice Address - Country:US
Practice Address - Phone:561-301-4562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13189081-6004101YM0800X
COLPC.0019248101YM0800X
AZLPC-22050101YM0800X
FLMH13327101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL208376709OtherTAX IDENTIFICATION NUMBER