Healthcare Provider Details

I. General information

NPI: 1245638535
Provider Name (Legal Business Name): MILAGROS R MALDONADO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2014
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11367 SW 248TH TER
HOMESTEAD FL
33032-3442
US

IV. Provider business mailing address

11367 SW 248TH TER
HOMESTEAD FL
33032-3442
US

V. Phone/Fax

Practice location:
  • Phone: 786-879-5355
  • Fax:
Mailing address:
  • Phone: 786-879-5355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH12835
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: