Healthcare Provider Details

I. General information

NPI: 1306370606
Provider Name (Legal Business Name): ANA MARIA GUZMAN-DIAZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2017
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9867 SW 184TH ST
PALMETTO BAY FL
33157-6934
US

IV. Provider business mailing address

965 W 77TH ST
HIALEAH FL
33014-4066
US

V. Phone/Fax

Practice location:
  • Phone: 786-732-2287
  • Fax:
Mailing address:
  • Phone: 786-317-3956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number27955
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: