| Shantanique Daleja Moore King, LMFT | |
|
2959 Alafaya Trl Ste 121, Oviedo, FL 32765-9482 | |
| (407) 986-1360 | |
| (407) 986-1361 |
| Full Name | Shantanique Daleja Moore King |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2959 Alafaya Trl Ste 121, Oviedo, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841032760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT4951 (Florida) | Primary |
| Entity Name | Dna Comprehensive Therapy Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
| Mailing Address | Practice Location Address |
|---|---|
| Shantanique Daleja Moore King, LMFT 12259 Fox Hound Ln, Orlando, FL 32826-3666 Ph: () - | Shantanique Daleja Moore King, LMFT 2959 Alafaya Trl Ste 121, Oviedo, FL 32765-9482 Ph: (407) 986-1360 |
Dr. Scott Coupland, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1231 Reformation Dr, Oviedo, FL 32765 Phone: 407-278-4466 | |
Melissa Miranda, M.A., NCC, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2572 W State Road 426 Ste 2008, Oviedo, FL 32765 Phone: 407-278-9983 | |
Ms. Carola A. Pyle, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 E Broadway St, Oviedo, FL 32765 Phone: 407-977-7164 | |
Ashley Constanzo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2200 Winter Springs Blvd Ste 106-332, Oviedo, FL 32765 Phone: 321-222-0642 | |
Ceu Belen Moreno, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1063 Kelsey Ave, Oviedo, FL 32765 Phone: 407-965-7814 | |
Vladimir Escobar, LMFT, MSCP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 795 Executive Dr, Oviedo, FL 32765 Phone: 407-848-8667 |