Healthcare Provider Details

I. General information

NPI: 1992558035
Provider Name (Legal Business Name): KAMARIA NICOLE DAILEY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 NE 111TH ST UNIT 1
MIAMI FL
33161-7601
US

IV. Provider business mailing address

1225 NE 111TH ST UNIT 1
MIAMI FL
33161-7601
US

V. Phone/Fax

Practice location:
  • Phone: 786-347-8075
  • Fax:
Mailing address:
  • Phone: 786-347-8075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMH28025
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: