Provider Demographics
NPI:1548364821
Name:REMENSPERGER, MARIA (LMHC, CAP, SAP)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:REMENSPERGER
Suffix:
Gender:F
Credentials:LMHC, CAP, SAP
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:REMENSPERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, CAP
Mailing Address - Street 1:137 S COURTENAY PKWY STE 535
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-4843
Mailing Address - Country:US
Mailing Address - Phone:321-961-4112
Mailing Address - Fax:321-208-7077
Practice Address - Street 1:690 FRIDAY RD
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32926-3317
Practice Address - Country:US
Practice Address - Phone:321-961-4112
Practice Address - Fax:321-208-7077
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7939101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1548364821OtherMENTAL HEALTH COUNSELOR