Provider Demographics
NPI:1154114916
Name:CARWIN, MONTEEA
Entity type:Individual
Prefix:
First Name:MONTEEA
Middle Name:
Last Name:CARWIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8171 FRAIM CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-8229
Mailing Address - Country:US
Mailing Address - Phone:347-837-3243
Mailing Address - Fax:
Practice Address - Street 1:853 STATE ROAD 436 STE 1001
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5479
Practice Address - Country:US
Practice Address - Phone:321-222-5330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4392106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist