Healthcare Provider Details

I. General information

NPI: 1427084391
Provider Name (Legal Business Name): BERNARDO R REYES LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W 84TH ST STE 104
HIALEAH FL
33016-5771
US

IV. Provider business mailing address

8878 NW 187TH ST
HIALEAH FL
33018-6281
US

V. Phone/Fax

Practice location:
  • Phone: 305-903-3168
  • Fax:
Mailing address:
  • Phone: 305-903-3168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberMH8901
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH8901
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: