Provider Demographics
NPI:1053754960
Name:COTTON, VIVIENNE (MS LMHC CAP CERTCBT)
Entity type:Individual
Prefix:MRS
First Name:VIVIENNE
Middle Name:
Last Name:COTTON
Suffix:
Gender:F
Credentials:MS LMHC CAP CERTCBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1064 SOARING EAGLE LN
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-6701
Mailing Address - Country:US
Mailing Address - Phone:407-625-2524
Mailing Address - Fax:
Practice Address - Street 1:5970 SOUTH ORANGE BLOSSOM TRAIL
Practice Address - Street 2:
Practice Address - City:INTERCESSION CITY
Practice Address - State:FL
Practice Address - Zip Code:33848
Practice Address - Country:US
Practice Address - Phone:407-846-5294
Practice Address - Fax:407-846-5298
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11630101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health