MEDICARE: JULIETA PARODI MHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	10272	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083118129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIETA PARODI MHC

Provider Business Mailing Address
First Line	:	12690 SW 93RD PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-5041
Country	:	US
Telephone Number	:	305-904-4309
Fax Number	:

Provider Business Practice Location Address
First Line	:	6405 NW 36TH ST STE 100
Second Line	:
City	:	VIRGINIA GARDENS
State	:	FL
Zip	:	33166-6977
Country	:	US
Telephone Number	:	305-904-4309
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2018
Last Update Date	:	03/22/2018

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