Provider Demographics
NPI:1174701031
Name:CHILA, JANET PATRICIA (LMHC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:PATRICIA
Last Name:CHILA
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 1:3501 W VINE ST STE 520
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4601
Mailing Address - Country:US
Mailing Address - Phone:407-785-1233
Mailing Address - Fax:888-908-8673
Practice Address - Street 1:3501 W VINE ST STE 520
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4601
Practice Address - Country:US
Practice Address - Phone:407-756-2933
Practice Address - Fax:888-908-8673
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-03
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9290101YP2500X
FLMH 9290101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019400000Medicaid
FL015708900Medicaid