Healthcare Provider Details

I. General information

NPI: 1538892096
Provider Name (Legal Business Name): VANESSA ALMENDAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2022
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SUNSET DR STE 123
MIAMI FL
33173-3001
US

IV. Provider business mailing address

13912 SW 259TH WAY
HOMESTEAD FL
33032-6775
US

V. Phone/Fax

Practice location:
  • Phone: 305-302-4776
  • Fax: 305-468-6351
Mailing address:
  • Phone: 786-508-3855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH22246
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: