Provider Demographics
NPI:1730536038
Name:PAUL, MARGARET (CBHT)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:PAUL
Suffix:
Gender:F
Credentials:CBHT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:PAUL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:705 W LYMAN AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4129
Mailing Address - Country:US
Mailing Address - Phone:321-695-9128
Mailing Address - Fax:
Practice Address - Street 1:2803 ARLINGTON ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-1107
Practice Address - Country:US
Practice Address - Phone:407-745-5022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-011057-2015101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health