Provider Demographics
NPI:1366133845
Name:GUIRADO, CHRISTIAN (RMHCI)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:GUIRADO
Suffix:
Gender:M
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9331 BRADLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4890
Mailing Address - Country:US
Mailing Address - Phone:407-808-5570
Mailing Address - Fax:
Practice Address - Street 1:6718 LAKE NONA BLVD STE 250
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7985
Practice Address - Country:US
Practice Address - Phone:325-483-3769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLIMH24250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health