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NPI Code Detail

MEDICARE: MARTHA VALLE LMHC

MEDICARE: MARTHA VALLE 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
1101YM0800XMental Health CounselorMH14417FL
2103K00000XBehavior Analyst

Other Identifiers

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

General Provider Information

NPI Number : 1740380674
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA VALLE LMHC
Provider Business Mailing Address
First Line : 14725 BALGOWAN RD APT 101
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33016-6031
Country : US
Telephone Number : 786-333-0077
Fax Number :
Provider Business Practice Location Address
First Line : 17699 NW 78TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33015-3627
Country : US
Telephone Number : 305-907-6814
Fax Number : 305-907-6835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 03/03/2026

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