MEDICARE: YANIER FRANCISCO RODRIGUEZ PEREZ 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	MH20448	FL

General Provider Information

NPI Number	:	1487383741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANIER FRANCISCO RODRIGUEZ PEREZ LMHC

Provider Business Mailing Address
First Line	:	6290 SW 59TH PL
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-2228
Country	:	US
Telephone Number	:	786-444-0494
Fax Number	:

Provider Business Practice Location Address
First Line	:	6290 SW 59TH PL
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-2228
Country	:	US
Telephone Number	:	786-444-0494
Fax Number	:

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

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	05/15/2023

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