Healthcare Provider Details

I. General information

NPI: 1689351595
Provider Name (Legal Business Name): KLAUDIA NIEMCZEWSKA MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18117 BISCAYNE BLVD # 4995
AVENTURA FL
33160-2535
US

IV. Provider business mailing address

18117 BISCAYNE BLVD # 4995
AVENTURA FL
33160-2535
US

V. Phone/Fax

Practice location:
  • Phone: 786-292-2331
  • Fax:
Mailing address:
  • Phone: 786-292-2331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH26249
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: