=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093048274
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCINE ANGERIA WALKER LMHC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/07/2009
-----------------------------------------------------
Last Update Date | 10/11/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 701 SW 27TH AVE SUITE G20
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33135-3031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-643-7800
-----------------------------------------------------
Fax | 305-643-1345
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11031 NE 6TH AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33161-7182
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-398-6100
-----------------------------------------------------
Fax | 305-757-4465
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MH9193
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------