Healthcare Provider Details

I. General information

NPI: 1528200698
Provider Name (Legal Business Name): DAENA E WEINKLE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2009
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 NW 57TH AVE STE 305B
MIAMI FL
33126-2385
US

IV. Provider business mailing address

815 NW 57TH AVE STE 305B
MIAMI FL
33126-2385
US

V. Phone/Fax

Practice location:
  • Phone: 305-892-4600
  • Fax:
Mailing address:
  • Phone: 305-892-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH21888
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: