Healthcare Provider Details

I. General information

NPI: 1023490463
Provider Name (Legal Business Name): AYMEE FLORENCIA PRIETO RODRIGUEZ LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 W 56TH ST APT 1207
HIALEAH FL
33012-7366
US

IV. Provider business mailing address

1890 W 56TH ST APT 1207
HIALEAH FL
33012-7366
US

V. Phone/Fax

Practice location:
  • Phone: 754-816-2357
  • Fax:
Mailing address:
  • Phone: 754-816-2357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC0021360
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH22238
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: