Healthcare Provider Details

I. General information

NPI: 1447871074
Provider Name (Legal Business Name): YAHOSCA JUNIETTE HURTADO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2020
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7925 SW 153RD PL
MIAMI FL
33193-1783
US

IV. Provider business mailing address

7925 SW 153RD PL
MIAMI FL
33193-1783
US

V. Phone/Fax

Practice location:
  • Phone: 786-246-4962
  • Fax:
Mailing address:
  • Phone: 786-246-4962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17215
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-71173
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: