Healthcare Provider Details

I. General information

NPI: 1427680966
Provider Name (Legal Business Name): GABRIEL EDUARDO LAMAS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2020
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 NE 123RD ST APT 209
NORTH MIAMI FL
33181-2953
US

IV. Provider business mailing address

4175 W 20TH AVE
HIALEAH FL
33012-5874
US

V. Phone/Fax

Practice location:
  • Phone: 305-343-0159
  • Fax:
Mailing address:
  • Phone: 305-825-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW16748
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16748
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: