Provider Demographics
NPI:1679953038
Name:ROMERO, BECKY (MS, LMHC, NCC, QS)
Entity type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:MS, LMHC, NCC, QS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11431 BRINDLE ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-4411
Mailing Address - Country:US
Mailing Address - Phone:407-501-8889
Mailing Address - Fax:
Practice Address - Street 1:6735 CONROY RD STE 410
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3567
Practice Address - Country:US
Practice Address - Phone:407-501-8889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14720101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health