Healthcare Provider Details

I. General information

NPI: 1215814827
Provider Name (Legal Business Name): SHEILA MICOL TARATUTA MA, LPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18117 BISCAYNE BLVD # 1286
AVENTURA FL
33160-2535
US

IV. Provider business mailing address

18117 BISCAYNE BLVD # 1286
AVENTURA FL
33160-2535
US

V. Phone/Fax

Practice location:
  • Phone: 786-376-4555
  • Fax:
Mailing address:
  • Phone: 786-376-4555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number26584
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0022699
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: