Healthcare Provider Details

I. General information

NPI: 1285845354
Provider Name (Legal Business Name): EVELYN GUERRA LMHC NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15924 SW 92ND AVE
PALMETTO BAY FL
33157-1842
US

IV. Provider business mailing address

9426 SW 6TH TER
MIAMI FL
33174-2155
US

V. Phone/Fax

Practice location:
  • Phone: 305-964-5824
  • Fax: 786-452-1200
Mailing address:
  • Phone: 305-301-1681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 5915
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: