| Samantha Illanez, | |
|
2135 W State Road 434, Longwood, FL 32779-4983 | |
| (407) 789-2673 | |
| Not Available |
| Full Name | Samantha Illanez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2135 W State Road 434, Longwood, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073258547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Illanez, 1226 Nw 111th Way, Coral Springs, FL 33071-6452 Ph: (954) 789-6852 | Samantha Illanez, 2135 W State Road 434, Longwood, FL 32779-4983 Ph: (407) 789-2673 |
Renata M. Cerveira, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Crown Oaks Centre Dr, Longwood, FL 32750 Phone: 321-303-1811 | |
Shantel Hanna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2290 N Ronald Reagan Blvd Ste 116, Longwood, FL 32750 Phone: 407-215-0095 | |
Michelle Terry Mallen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 781 Ciara Creek Cv Ste 1011, Longwood, FL 32750 Phone: 407-699-5824 | |
Paul Anthony Cisneros, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 267 Torpoint Gate Rd, Longwood, FL 32779 Phone: 813-382-2236 | |
Mr. Adrian K Fuller Jr., M.S., ED.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 Florida Central Pkwy Ste 1028, Longwood, FL 32750 Phone: 407-774-2284 Fax: 407-774-2285 | |
Melissa Anne Bowling, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 111 W Magnolia Ave, Longwood, FL 32750 Phone: 407-215-0095 | |
Daniel Alexander Joseph, M.ED., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 W Warren Ave, Longwood, FL 32750 Phone: 225-978-6092 |