Healthcare Provider Details

I. General information

NPI: 1932407194
Provider Name (Legal Business Name): ZANDRA CUE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2011
Last Update Date: 03/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3191 CORAL WAY SUITE602
CORAL GABLES FL
33145-3213
US

IV. Provider business mailing address

3191 CORAL WAY SUITE602
CORAL GABLES FL
33145-3213
US

V. Phone/Fax

Practice location:
  • Phone: 786-218-4039
  • Fax: 305-713-1224
Mailing address:
  • Phone: 786-218-4039
  • Fax: 305-713-1224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH13638
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: