Healthcare Provider Details

I. General information

NPI: 1801268727
Provider Name (Legal Business Name): FRANCIS MARIE OCASIO OLIVERAS MS, RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FRANCIS MARIE OLIVERAS RUIZ MS, RMHCI

II. Dates (important events)

Enumeration Date: 10/30/2015
Last Update Date: 05/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9299 SW 152ND ST SUITE 200G
PALMETTO BAY FL
33157-1737
US

IV. Provider business mailing address

PO BOX 900184
HOMESTEAD FL
33090-0184
US

V. Phone/Fax

Practice location:
  • Phone: 844-373-5343
  • Fax: 844-373-5343
Mailing address:
  • Phone: 844-373-5343
  • Fax: 844-373-5343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH 14045
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: