Provider Demographics
NPI:1053946855
Name:DASILVA, EMILIA ROSA (LMHC)
Entity type:Individual
Prefix:
First Name:EMILIA
Middle Name:ROSA
Last Name:DASILVA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6209 DUNWOODY GABLES DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6970
Mailing Address - Country:US
Mailing Address - Phone:954-395-7910
Mailing Address - Fax:
Practice Address - Street 1:1450 N US HIGHWAY 1 STE 500
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-6623
Practice Address - Country:US
Practice Address - Phone:386-449-8600
Practice Address - Fax:386-313-6980
Is Sole Proprietor?:No
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17513101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1760980502OtherEMPLOYER NPI