Healthcare Provider Details

I. General information

NPI: 1598579161
Provider Name (Legal Business Name): YISLEN FELIPES MA, LMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3574 NW 13TH ST
MIAMI FL
33125-2817
US

IV. Provider business mailing address

3574 NW 13TH ST
MIAMI FL
33125-2817
US

V. Phone/Fax

Practice location:
  • Phone: 305-987-8561
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH25027
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: