Healthcare Provider Details

I. General information

NPI: 1346916012
Provider Name (Legal Business Name): AILEEN DAMARIS VALDEZ MS, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2021
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 MADRUGA AVE STE 509
CORAL GABLES FL
33146-3048
US

IV. Provider business mailing address

3255 NW 82ND ST
MIAMI FL
33147-4545
US

V. Phone/Fax

Practice location:
  • Phone: 786-536-9714
  • Fax:
Mailing address:
  • Phone: 786-241-1289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH23265
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: