Healthcare Provider Details

I. General information

NPI: 1316857931
Provider Name (Legal Business Name): YULEISIS MENDEZ TRAVIESO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10359 N KENDALL DR APT A2
MIAMI FL
33176-1629
US

IV. Provider business mailing address

10359 N KENDALL DR APT A2
MIAMI FL
33176-1629
US

V. Phone/Fax

Practice location:
  • Phone: 561-501-0846
  • Fax:
Mailing address:
  • Phone: 786-925-2214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number28560
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: