Healthcare Provider Details

I. General information

NPI: 1548176993
Provider Name (Legal Business Name): KHLOEY MARTHE JEAN-BAPTISTE RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 BISCAYNE BLVD
MIAMI FL
33137-3859
US

IV. Provider business mailing address

1475 SW 8TH ST APT 614
MIAMI FL
33135-3893
US

V. Phone/Fax

Practice location:
  • Phone: 305-576-1234
  • Fax: 305-571-2020
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH29712
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: