Provider Demographics
NPI:1871285163
Name:HOWLETT, MARIE MERCADO (RMHCI)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:MERCADO
Last Name:HOWLETT
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PALM DR
Mailing Address - Street 2:
Mailing Address - City:YALAHA
Mailing Address - State:FL
Mailing Address - Zip Code:34797-3001
Mailing Address - Country:US
Mailing Address - Phone:813-217-1646
Mailing Address - Fax:
Practice Address - Street 1:7758 WALLACE RD STE 1
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7217
Practice Address - Country:US
Practice Address - Phone:407-900-5010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH23420101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health