Healthcare Provider Details

I. General information

NPI: 1821671967
Provider Name (Legal Business Name): MATTHEW HYRNE LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4175 W 20TH AVE
HIALEAH FL
33012-5874
US

IV. Provider business mailing address

1603 NW 7TH AVE
MIAMI FL
33136-1415
US

V. Phone/Fax

Practice location:
  • Phone: 786-471-2612
  • Fax:
Mailing address:
  • Phone: 305-374-1065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH18527
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: