Provider Demographics
NPI:1053153809
Name:GUINS, CERRA
Entity type:Individual
Prefix:
First Name:CERRA
Middle Name:
Last Name:GUINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5512 METROWEST BLVD APT 303
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2432
Mailing Address - Country:US
Mailing Address - Phone:407-808-2359
Mailing Address - Fax:
Practice Address - Street 1:5512 METROWEST BLVD APT 303
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-2432
Practice Address - Country:US
Practice Address - Phone:407-808-2359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22606101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health