Healthcare Provider Details

I. General information

NPI: 1275452609
Provider Name (Legal Business Name): STEPHANIE SILENCIEUX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2357 NW 167TH ST APT 503
MIAMI GARDENS FL
33056-4566
US

IV. Provider business mailing address

2357 NW 167TH ST APT 503
MIAMI GARDENS FL
33056-4566
US

V. Phone/Fax

Practice location:
  • Phone: 786-955-4270
  • Fax:
Mailing address:
  • Phone: 786-955-4270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH29411
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: