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Provider Information for 1518106178


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ELIZABETH ANN AULDS LMHC


Sex: Female

NPI: 1518106178
Last Updated: 2024-11-07
Certification Date: 2024-11-07

Details

NameValue
NPI1518106178
Enumeration Date2009-02-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 11854 DEER PATH WAY
ORLANDO, FL 32832-7047
United States

Phone: 321-663-2724 | Fax:
 
Primary Practice Address 6718 LAKE NONA BLVD
ORLANDO, FL 32827-7982
United States

Phone: 833-769-3524 | Fax:727-939-6062
 
Secondary Practice Address(es)

1009 MAITLAND CENTER COMMONS BLVD
SUITE 212
MAITLAND, FL 32751-7270
United States

Phone: 321-663-2724 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL007888200
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH11500