Healthcare Provider Details

I. General information

NPI: 1710807367
Provider Name (Legal Business Name): BRANDE MARCELLE MERUHDJ ESTIME RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18412 HOMESTEAD AVE APT 705
MIAMI FL
33157-6867
US

IV. Provider business mailing address

18412 HOMESTEAD AVE APT 705
MIAMI FL
33157-6867
US

V. Phone/Fax

Practice location:
  • Phone: 561-644-2606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH26857
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: