Healthcare Provider Details
I. General information
NPI: 1275692451
Provider Name (Legal Business Name): ROSEMARY JULIANA SMITH HOEL LMHC, CAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/06/2006
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5711 S DIXIE HWY
SOUTH MIAMI FL
33143-3602
US
IV. Provider business mailing address
17840 SW 88TH CT
PALMETTO BAY FL
33157-5906
US
V. Phone/Fax
- Phone: 305-667-1036
- Fax: 305-667-4938
- Phone: 305-255-8694
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | CAP 3399 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | MH8298 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | MH8298 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: