MEDICARE: VALERY A HIDALGO 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	MH26700	FL

General Provider Information

NPI Number	:	1568106169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERY A HIDALGO LMHC

Provider Business Mailing Address
First Line	:	2631 SOLANO AVE APT 108
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-3775
Country	:	US
Telephone Number	:	954-655-9271
Fax Number	:

Provider Business Practice Location Address
First Line	:	7522 WILES RD
Second Line	:	SUITE B213
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067
Country	:	US
Telephone Number	:	954-947-6499
Fax Number	:

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

Provider Enumeration Date	:	04/21/2022
Last Update Date	:	02/05/2026

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