Healthcare Provider Details

I. General information

NPI: 1467143602
Provider Name (Legal Business Name): KARINA ASERRAF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20185 E COUNTRY CLUB DR APT 1202
AVENTURA FL
33180-3051
US

IV. Provider business mailing address

20185 E COUNTRY CLUB DR APT 1202
AVENTURA FL
33180-3051
US

V. Phone/Fax

Practice location:
  • Phone: 786-574-0222
  • Fax:
Mailing address:
  • Phone: 786-574-0222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH28694
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10007249
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: