Provider Demographics
NPI:1427920784
Name:CARMONA-PORTOCARRERO, CRISTINA ISABEL (LMHC)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ISABEL
Last Name:CARMONA-PORTOCARRERO
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 1:605 YOUNGSTOWN PKWY APT 34
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-4583
Mailing Address - Country:US
Mailing Address - Phone:407-716-7683
Mailing Address - Fax:
Practice Address - Street 1:605 YOUNGSTOWN PKWY APT 34
Practice Address - Street 2:400 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-4583
Practice Address - Country:US
Practice Address - Phone:407-716-7683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH26349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health