Provider Demographics
NPI:1861965709
Name:VELEZ, MARIBEL E (LPC)
Entity type:Individual
Prefix:MS
First Name:MARIBEL
Middle Name:E
Last Name:VELEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 WASHINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-6434
Mailing Address - Country:US
Mailing Address - Phone:305-721-0340
Mailing Address - Fax:
Practice Address - Street 1:2680 OPITZ BLVD STE 220
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-6822
Practice Address - Country:US
Practice Address - Phone:703-490-1905
Practice Address - Fax:703-497-1225
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007658101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional