Healthcare Provider Details

I. General information

NPI: 1780992594
Provider Name (Legal Business Name): MARIA MAGDALENA ESLAIT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 05/24/2024
Certification Date: 05/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 SUNSET DR STE 151
MIAMI FL
33173-3286
US

IV. Provider business mailing address

101 OCEAN LANE DR APT 304
MIAMI FL
33149-1446
US

V. Phone/Fax

Practice location:
  • Phone: 786-548-1022
  • Fax:
Mailing address:
  • Phone: 305-331-7442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH9906
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: