Healthcare Provider Details

I. General information

NPI: 1578369088
Provider Name (Legal Business Name): CLAUDIA ESCOBEDO RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12697 NW 10TH LN
MIAMI FL
33182-2072
US

IV. Provider business mailing address

12697 NW 10TH LN
MIAMI FL
33182-2072
US

V. Phone/Fax

Practice location:
  • Phone: 305-582-5340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: