Provider Demographics
NPI:1730116476
Name:VENTURINI, NELLY (MA, LMHC, CIRT, NCC)
Entity type:Individual
Prefix:MS
First Name:NELLY
Middle Name:
Last Name:VENTURINI
Suffix:
Gender:F
Credentials:MA, LMHC, CIRT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 BROADOAK LOOP
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-7104
Mailing Address - Country:US
Mailing Address - Phone:407-491-8260
Mailing Address - Fax:407-491-8260
Practice Address - Street 1:1061 MAITLAND CENTER COMMONS BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7435
Practice Address - Country:US
Practice Address - Phone:407-491-8260
Practice Address - Fax:407-330-9195
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8777101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health