Provider Demographics
NPI:1164259529
Name:MAYO, AOLANI (LMHC)
Entity type:Individual
Prefix:
First Name:AOLANI
Middle Name:
Last Name:MAYO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 ROBERT J CONLAN BLVD NE STE 7
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-3559
Mailing Address - Country:US
Mailing Address - Phone:321-372-6897
Mailing Address - Fax:321-372-6896
Practice Address - Street 1:1501 ROBERT J CONLAN BLVD NE STE 7
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-3559
Practice Address - Country:US
Practice Address - Phone:321-372-6897
Practice Address - Fax:321-372-6896
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH24170101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health