Provider Demographics
NPI:1871929182
Name:ECHEVERRY, VICTORIA EUGENIA
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:EUGENIA
Last Name:ECHEVERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:VICTORIA
Other - Middle Name:EUGENIA
Other - Last Name:ECHEVERRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:407 WEKIVA SPRINGS RD
Mailing Address - Street 2:SUITE104
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-6201
Mailing Address - Country:US
Mailing Address - Phone:407-222-4207
Mailing Address - Fax:386-860-0649
Practice Address - Street 1:407 WEKIVA SPRINGS RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779
Practice Address - Country:US
Practice Address - Phone:407-222-4207
Practice Address - Fax:386-860-0649
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical