Healthcare Provider Details
I. General information
NPI: 1013713270
Provider Name (Legal Business Name): RUBEN LIMA LMHC PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/19/2025
Last Update Date: 07/19/2025
Certification Date: 07/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
919 NW 2ND AVE APT 511
MIAMI FL
33136-3936
US
IV. Provider business mailing address
919 NW 2ND AVE APT 511
MIAMI FL
33136-3936
US
V. Phone/Fax
- Phone: 305-389-9509
- Fax: 786-934-9411
- Phone: 305-389-9509
- Fax: 786-934-9411
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RUBEN
LIMA
Title or Position: COUNSELOR
Credential: LMHC
Phone: 305-389-9509