Provider Demographics
NPI:1023146511
Name:VELEZ, DORCAS PEDRAZA (LMHC)
Entity type:Individual
Prefix:
First Name:DORCAS
Middle Name:PEDRAZA
Last Name:VELEZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1544 ECHO LAKE CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7445
Mailing Address - Country:US
Mailing Address - Phone:407-925-8032
Mailing Address - Fax:407-574-6239
Practice Address - Street 1:3662 AVALON PARK EAST BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7361
Practice Address - Country:US
Practice Address - Phone:407-925-8032
Practice Address - Fax:407-574-6239
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8805101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health