Santiago, Irisdomar

Santiago, Irisdomar is an individual health care provider with primary practice located at 1999 W Colonial Dr , Orlando FL 32804-7021. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Santiago, Irisdomar can be contacted via phone (407) 219-9304.

Contact Information

Primary practice address
1999 W Colonial Dr Orlando FL 32804-7021
Phone: (407) 219-9304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 4770 Puerto Rico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH20222 Florida

Profile Details

NPI number 1770936346
LBN Legal business name Santiago, Irisdomar
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2016
Last updated Jan 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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