Provider Demographics
NPI:1033099635
Name:DOWNS, FARAH (EDS)
Entity type:Individual
Prefix:
First Name:FARAH
Middle Name:
Last Name:DOWNS
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 N WYMORE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4257
Mailing Address - Country:US
Mailing Address - Phone:407-866-3148
Mailing Address - Fax:
Practice Address - Street 1:549 N WYMORE RD STE 107
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4257
Practice Address - Country:US
Practice Address - Phone:407-866-3148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS1625103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool