MEDICARE: MS. MARIBEL NIEVES MA. LMHC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH8765	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396904504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIBEL NIEVES MA. LMHC.

Provider Business Mailing Address
First Line	:	5323 MILLENIA LAKES BLVD
Second Line	:	SUITE 300
City	:	ORLANDO
State	:	FL
Zip	:	32839-3392
Country	:	US
Telephone Number	:	407-697-3207
Fax Number	:

Provider Business Practice Location Address
First Line	:	5323 MILLENIA LAKES BLVD
Second Line	:	SUITE 300
City	:	ORLANDO
State	:	FL
Zip	:	32839-3392
Country	:	US
Telephone Number	:	407-697-3207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2008
Last Update Date	:	07/24/2015

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